Individual provider Active NPI

Cynthia A. Abbott, M.D.

  • Specialist
  • Atlanta, GA
National Provider Identifier
1902898315
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
043314 Issued in GA
Practice address
3131 Maple Dr NE
Suite 102
Atlanta, GA 30305-2515
Phone
(404) 816-7900
Fax
(404) 816-7929
NPI assigned
Aug 22, 2005
Last updated
Jul 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 043314 GA Primary

Addresses

Primary practice location

3131 Maple Dr NE
Suite 102
Atlanta, GA 30305-2515

Mailing address

PO Box 52226
Atlanta, GA 30355-0226
Phone (404) 816-7900

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080814000090 GA Practitioner - Dermatology 2466347927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Louisville School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Affiliates LLCGroup PAC ID 5799763975, 14 clinicians

Practice addresses (Care Compare)

3131 Maple Dr NE
Suite 102
Atlanta, GA 30305-2515
Phone (404) 816-7900

691 14TH St NW
Suite E
Atlanta, GA 30318-5625
Phone (404) 816-7900

Merit-based Incentive Payment System (MIPS)

Final score
93.2 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision19
Removal of skin lesions397
Removal or shaving of skin growth24
Skin biopsy85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Affiliates, LLC Specialist CurrentSince Mar 1, 2010 Accepting new patients
Sentry Anesthesia Management, LLC Past Accepting new patients
Damt, Inc Specialist PastSince Aug 1, 2015 Accepting new patients
Wesley S Wilborn MD PC Past Accepting new patients

Locations

3131 Maple Dr NE
Ste 102
Atlanta, GA 30305

691 14th St NW
Ste E
Atlanta, GA 30318

Interoperability endpoints

  • Direct secure messaging: cynthia.abbott@qdp.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1902898315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52226",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303550226",
            "telephone_number": "404-816-7900",
            "fax_number": "404-816-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 MAPLE DR NE",
            "address_2": "SUITE 102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052515",
            "telephone_number": "404-816-7900",
            "fax_number": "404-816-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "CYNTHIA",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "043314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.