Abbigail Elizabeth Stidham

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

------------------ Issued in SC

Practice address

McKnight Brain Institute (L3-100) 1149 Newell Drive
Gainesville, FL 32610-0001

Phone

(352) 273-5549

Fax

(352) 273-5575

NPI assigned

Apr 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: astidham629021@direct.shands.ufl.edu

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1932953627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WOODRIDGE DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296112015",
            "telephone_number": "423-608-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCKNIGHT BRAIN INSTITUTE (L3-100) 1149 NEWELL DRIVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100001",
            "telephone_number": "352-273-5549",
            "fax_number": "352-273-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIDHAM",
        "first_name": "ABBIGAIL",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "------------------",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shylon Stewart, MSW
• Susan Elaine Stewart, NP
• Thomas Stich, MS, ATC, LAT, CSCS
• Stick & Move Phlebotomy
• Katelyn Stickley, LAT, ATC
• Erin Stidham, M.A. CCC/SLP
• Joseph Stidham, M.D.
• Kelcie Stiegler
• Andrew Stiene, MD
• Taylor Stiff

• Neurology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.