DR. JOHN THOMAS ABBOTT JR.


Address: 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214-4535
Phone: 7704609777

DR. JOHN THOMAS ABBOTT JR. (NPI# 1861679805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861679805
Entity Type Individual
Full Name DR. JOHN THOMAS ABBOTT JR.
Credential M.D.
Practice Address 1336 Highway 54 W
Bldg 200
Fayetteville
GA 30214-4535
Mailing Address 1930 Brannan Rd
Mcdonough
GA 30253-4310
Practice Telephone 7704609777
Practice Fax Number 7704600650
Mailing Telephone 6782844040
Mailing Fax Number 6782844076
Enumeration Date 2008-01-22
Last Update Date 2015-01-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 060694 GA Allopathic & Osteopathic Physicians
N 208800000X Urology 000224 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 864205134A 05
GA DEA FA0756950 01

Other Providers JOHN ABBOTT

NPI Name Taxonomy Address Enumeration
1689141640 John W Abbott Physical Therapy Assistant 225 S Philpot St, Cedartown, GA 30125-3021 2018-10-29
1255540936 John Keith Abbott IIi Surgery 7501 Lakeview Pkwy, Suite 270, Rowlett, TX 75088-9322 2007-05-21
1093830762 John Julian Abbott Internal Medicine 129 N Washington St, Sumter, SC 29150-4949 2007-03-20
1255477790 John Phillip Abbott Family Medicine 302 Main Street, Wiley, CO 81092 2007-01-30
1013028711 John V Abbott Jr. Psychiatry & Neurology 3 Hatfield Lane, Valley Behavioral Medicine Ste 1, Goshen, NY 10924-6732 2006-08-31
1326004029 John Abbott Nurse Anesthetist, Certified Registered 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 2006-04-22

Office Location

Street Address 1336 HIGHWAY 54 W
BLDG 200
City FAYETTEVILLE
State GA
Zip Code 30214-4535

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891795407 Tara Beth Gochenour Specialist/Technologist 1336 Highway 54 W, Bldg 500, Fayetteville, GA 30214-4535 2005-07-26
1679019020 Kimberly Anne Wilmoth Nurse Practitioner 1336 Highway 54 W, Fayetteville, GA 30214-4535 2017-01-10
1538523964 Christopher Bryan Bush Nurse Practitioner 1336 Highway 54 W, Bldg. 500, Fayetteville, GA 30214-4535 2016-04-12
1457630659 Laura H Taylor Specialist/Technologist 1336 Highway 54 W, Bldg 500, Fayetteville, GA 30214-4535 2011-08-05
1407090459 Edan Shapiro Urology 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214-4535 2009-04-21
1245473990 Hagop Sarkissian Urology 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214-4535 2009-04-10
1124295357 Amita Agarwal Occupational Therapist 1336 Highway 54 W, Fayetteville, GA 30214-4535 2008-05-16
1942426168 Georgia Urology Pa Urology 1336 Highway 54 W, Building 200, Fayetteville, GA 30214-4535 2007-04-17
1649307885 Resurgens, PC Orthopaedic Surgery 1336 Highway 54 W, Building 500, Fayetteville, GA 30214-4549 2007-02-27
1053414458 Scott W Shelfo Urology 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214-4535 2006-09-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
Find all providers in zip 30214

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679581003 Carolina Lithotripsy Ldt Urology 2014 Litho Place, Fayetteville, NC 28304 2006-08-03
1003873050 Richard D Mcwhorter Urology 2 East Appleby Rd., Suite 201, Fayetteville, AR 72703 2006-04-26
1881656924 Fayetteville Urology Associates Pa Urology 1786 Metromedical Drive, Fayetteville, NC 28304 2006-04-04
1801860630 Philip R Kreitzer Urology 4211 Medical Center Dr, Suite 211, Fayetteville, NY 13066-6637 2006-02-16
1861476897 Nirmal K Kilambi Urology 1300 E Zion Rd, Fayetteville, AR 72703-5015 2005-12-02
1013912369 Albert Vazquez Lugo Urology 7300 S Raeford Rd, Fayetteville, NC 28304-6162 2005-06-14
1124022561 Henry Edward Parfitt Jr. Urology 1786 Metromedical Dr, Fayetteville, NC 28304-3861 2005-06-13
1861026619 Georgia Urology Piedmont, LLC Urology 1336 Highway 54 W Bldg 200, Fayetteville, GA 30214-4574 2020-03-02
1548755903 Cumberland County Hospital System Inc Urology 1537 Owen Park Ln, Fayetteville, NC 28304-3454 2018-06-28
1295122315 Mark William Pickhardt Urology 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 2015-04-16
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 30214

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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