DEVIN AILI ABBOTT – Physician Assistant, NPI 1174354229

DEVIN AILI ABBOTT is a healthcare provider. based in Harlem, Georgia. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA3499 (KY). The NPI Number for DEVIN AILI ABBOTT is 1174354229

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
DEVIN AILI ABBOTT
NPI
1174354229
Phone
(706) 421-7451
Address
1300 THREE OAKS DR
Enumeration Date
12 August 2024
Last Update Date
27 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8599010012
Graduation Year
2024 (2 years ago)
PAC ID
9739609470
Group Practice PAC ID
2961770268
Professional Enrollment ID
I20250225001001
Address ID
KY405098739LE3000XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness85
Years active:1State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for DEVIN AILI ABBOTT

  • 1300 THREE OAKS DR

    HARLEM, GA 308144016

    Phone: (706) 421-7451

    Type: Mailing

  • 3000 BAPTIST HEALTH BLVD

    LEXINGTON, KY 405098739

    Phone: (859) 422-9600

    Type: Location

  • 175 Hospital Dr

    Winchester, KY 403919591

    Phone: (859) 745-3500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250225001001IPhysician AssistantKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30814)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961770268View full group profile
NameSpecialtyState
Physician AssistantKY
Physician AssistantKY
Physician AssistantKY
Physician AssistantKY
Physician AssistantKY
Physician AssistantKY
Emergency MedicineKY
-KY
Emergency MedicineKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Where can patients find DEVIN AILI ABBOTT's NPI?
You can confirm DEVIN AILI ABBOTT with NPI 1174354229; it appears in the national provider directory.
Is DEVIN AILI ABBOTT's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DEVIN AILI ABBOTT?
The page reflects Physician Assistant for DEVIN AILI ABBOTT. Clinical services aligned with this taxonomy classification.
What location metadata exists for DEVIN AILI ABBOTT?
The page summarizes Harlem, Georgia for DEVIN AILI ABBOTT; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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