Individual provider Active NPI

Abigail A.O Bernard, APRN

  • Family Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1851009534
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN218428 Issued in GA
Practice address
2732 Candler Rd
Decatur, GA 30034-1410
Phone
(470) 444-3133
Fax
(470) 276-4051
NPI assigned
Nov 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN218428 GA
Family Nurse Practitioner 363LF0000X RN218428 GA Primary

Addresses

Primary practice location

2732 Candler Rd
Decatur, GA 30034-1410

Mailing address

PO Box 740015
Atlanta, GA 30374-0015
Phone (312) 733-9730

Other practice location 1

1300 Altmore Ave
Atlanta, GA 30342-2452
Phone (678) 254-0945

Other practice location 2

3060 Kimball Bridge Rd
Alpharetta, GA 30022-1404
Phone (470) 235-2869

Other practice location 3

5775 Peachtree Dunwoody Rd Ste D-100B
Atlanta, GA 30342-1556
Phone (678) 254-0945

Other practice location 4

1155 Concord Rd SE
Smyrna, GA 30080-4234
Phone (470) 649-3890

Other practice location 5

114 E Trinity Pl
Decatur, GA 30030-3302
Phone (470) 235-2832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221222000586 GA Practitioner - Nurse Practitioner 4284004961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mercer University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Georgia PCGroup PAC ID 0345658647, 37 clinicians

Practice addresses (Care Compare)

2732 Candler Rd
Decatur, GA 30034-1410
Phone (470) 444-3133

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN218428GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Oct 31, 2022 Accepting new patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Oct 31, 2022 Accepting new patients
Oak Street Health of Georgia PC Nurse Practitioner CurrentSince Nov 11, 2024 Accepting new patients

Locations

3060 Kimball Bridge Rd
Ste 130
Alpharetta, GA 30022
Phone (470) 235-2869

4745 Ashford Dunwoody Rd
Ste D
Atlanta, GA 30338
Phone (678) 254-0945

2732 Candler Rd
Decatur, GA 30034
Phone (470) 444-3133

114 E Trinity Pl
Decatur, GA 30030
Phone (470) 235-2832

1825 Rockbridge Rd
Ste 15B
Stone Mtn, GA 30087
Phone (470) 444-3134

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1851009534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740015",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740015",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341410",
            "telephone_number": "470-444-3133",
            "fax_number": "470-276-4051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Altmore Ave",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303422452",
            "country_code": "US",
            "telephone_number": "678-254-0945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3060 Kimball Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300221404",
            "country_code": "US",
            "telephone_number": "470-235-2869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5775 Peachtree Dunwoody Rd Ste D-100B",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421556",
            "country_code": "US",
            "telephone_number": "678-254-0945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1155 Concord Rd SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300804234",
            "country_code": "US",
            "telephone_number": "470-649-3890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 E Trinity Pl",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300303302",
            "country_code": "US",
            "telephone_number": "470-235-2832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "ABIGAIL",
        "middle_name": "A.O",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN218428",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN218428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.