Abby Tubman Abisogun, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

080802 Issued in GA

Practice address

7505 Waters Ave Ste A9
Savannah, GA 31406-3817

Phone

(912) 483-9313

Fax

(912) 446-0549

NPI assigned

May 23, 2011

Last updated

Dec 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2022 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: abby.abisogun.1@8042.direct.athenahealth.com
• Direct secure messaging: abby.abisogun@377489416454148.direct.elationemr.com

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

• Southcoast Medical Group, LLC

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1467451922

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1891088985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 WATERS AVE STE A9",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063817",
            "telephone_number": "912-483-9313",
            "fax_number": "912-446-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 WATERS AVE STE A9",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063817",
            "telephone_number": "912-483-9313",
            "fax_number": "912-446-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABISOGUN",
        "first_name": "ABBY",
        "middle_name": "TUBMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP02225",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "2016-00460",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "080802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abercorn Family Medical Center
• Abercorn Rehabilitation Center, LLC (Abercorn Rehabilitation Center)
• Amy Suzanne Abernathy, RPH
• Janice Elise Abernathy
• Lindsay T Abernethy, PA-C
• Akinniran Adedamola Abisogun, M.D.
• Julia Ableitner
• Ablemed Supply (AbleMed Supply, LLC.)
• Marcus Abrams
• Adel Abdedhamid Abuelazm Sr.

• Endocrinology, Diabetes & Metabolism Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.