Active NPI
Charles Edgerton, PAA
- Physician Assistant
- Huntsville, AL
National Provider Identifier
1013971415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 721 Madison Street
Huntsville, AL 35801 - Phone
- (256) 880-6711
- Fax
- (256) 880-6712
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
721 Madison Street
Huntsville, AL 35801
Mailing address
PO Box 288
Huntsville, AL 35804-0288
Phone (256) 880-6711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Associate of Arts, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002457 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Specialists in Anesthesia, P.C. | Past | Accepting new patients | |
| Piedmont Anesthesia Associates, L.L.C | Past | Accepting new patients | |
| Fayette Community Anesthesia | Past | Accepting new patients | |
| Amsol Anesthetists of Georgia, LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1649224775
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1144220245
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1316968662
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1407856594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1013971415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 288",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358040288",
"telephone_number": "256-880-6711",
"fax_number": "256-880-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 MADISON STREET",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35801",
"telephone_number": "256-880-6711",
"fax_number": "256-880-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGERTON",
"first_name": "CHARLES",
"credential": "PAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.