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ASHLEY M ABBOTT MD
NPI 1528521648
Internal Medicine - Rheumatology in Woodstock, GA

Active since April 08, 2019PECOS EnrolledAccepts Medicare Assignment
900 TOWNE LAKE PKWY, WOODSTOCK, GA 30189(770) 852-7790(770) 852-7791 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 4, 2024, Aug 13, 2024, Jul 6, 2022 and 1 more (4 updates tracked since 2019).

About Ashley M Abbott Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY M ABBOTT MD (NPI 1528521648) is an individual rheumatology provider in Woodstock, Georgia, licensed in Georgia (101221) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1528521648
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameASHLEY M ABBOTTCredential: MD
Location Address900 TOWNE LAKE PKWYWoodstock, GA 30189-1602
Mailing Address900 Towne Lake PkwyWoodstock, GA 30189-1602 · (770) 852-7790 · Fax (770) 852-7791
Phone(770) 852-7790
Fax(770) 852-7791
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 8, 2019
Last NPPES UpdateDecember 4, 20244 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1528521648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in GA · 101221
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
900 TOWNE LAKE PKWY, Woodstock, GA 30189
Open in Google Maps ↗

Other Identifiers 1

Medicaid1225050396GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley M Abbott Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254662091
PECOS Enrollment IDI20241118000995
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30189 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHHAVI V NOOHANI DO
Family Medicine
900 TOWNE LAKE PKWY, STE. 104
WOODSTOCK, GA 30189
Cherokee County (770) 639-5880
GRANT COLLINS WOLFE M.D.
Surgery
900 TOWNE LAKE PKWY, SUITE 412
WOODSTOCK, GA 30189
Cherokee County (770) 924-9656
MRS. MICHELLE KING CLARDY PA-C
Physician Assistant
900 TOWNE LAKE PKWY, STE 404
WOODSTOCK, GA 30189
Cherokee County (770) 926-9229
DR. CESAR ISAAC CRUZ AGUILAR M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
900 TOWNE LAKE PKWY, STE 400
WOODSTOCK, GA 30189
Cherokee County (770) 924-5095
MRS. NICOLE T RIVERA P.A.,C.
Physician Assistant (Medical)
900 TOWNE LAKE PKWY, SUITE 308
WOODSTOCK, GA 30189
Cherokee County (770) 926-5459
GEORGIA UROLOGY PA
Urology
900 TOWNE LAKE PKWY, SUITE 200
WOODSTOCK, GA 30189
Cherokee County (678) 494-9201
JORGE L LOPEZ PAC
Physician Assistant
900 TOWNE LAKE PKWY, SUITE 400
WOODSTOCK, GA 30189
Cherokee County (770) 924-5095
DR. ROBIN LOE MD
Family Medicine
900 TOWNE LAKE PKWY, STE 410
WOODSTOCK, GA 30189
Cherokee County (678) 445-0819

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Abbott's NPI number?

The NPI number for Ashley Abbott is 1528521648. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Ashley Abbott located?

Ashley Abbott practices at 900 Towne Lake Pkwy, Woodstock, GA 30189. The listed phone number is (770) 852-7790.

What is Ashley Abbott's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ashley Abbott enrolled in Medicare?

Yes. Ashley Abbott is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ashley Abbott accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ashley Abbott as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ashley Abbott affiliated with any hospitals?

According to CMS data, Ashley Abbott is affiliated with Northside Hospital Cherokee and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Abbott was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.