| Dr John Thomas Abbott Jr, MD | |
|
1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214-4535 | |
| (770) 460-9777 | |
| (770) 460-0650 |
| Full Name | Dr John Thomas Abbott Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 22 Years |
| Location | 1336 Highway 54 W, Fayetteville, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861679805 | NPI | - | NPPES |
| 864205134A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 000224 (Georgia) | Secondary |
| 208800000X | Urology | 060694 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Urology, Pa | 8921094376 | 88 |
| Urological Professional Services, Llc | 9638391717 | 62 |
| Entity Name | Georgia Urology, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245250646 PECOS PAC ID: 8921094376 Enrollment ID: O20040422000123 |
| Entity Name | Urological Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033521810 PECOS PAC ID: 9638391717 Enrollment ID: O20141104002579 |
| Entity Name | Georgia Urology Piedmont Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376163451 PECOS PAC ID: 2860822145 Enrollment ID: O20200429001254 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Thomas Abbott Jr, MD 1930 Brannan Rd, Mcdonough, GA 30253-4310 Ph: (678) 284-4040 | Dr John Thomas Abbott Jr, MD 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214-4535 Ph: (770) 460-9777 |
Brittani Linnea Barrett-harlow, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1336 Highway 54 W Bldg 200, Fayetteville, GA 30214 Phone: 770-460-9777 | |
Kevin Yang, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1336 Highway 54 W Bldg 200, Fayetteville, GA 30214 Phone: 770-460-9777 | |
Edan Shapiro, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214 Phone: 770-460-9777 Fax: 770-460-0650 | |
Mr. Fernando A. Duralde, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214 Phone: 770-716-9656 Fax: 770-716-1609 |