Active NPI
DRS. Feagin, Gee and Dahl, P.C.
- Ophthalmology Physician
- Birmingham, AL
National Provider Identifier
1104939008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- DRS. FEAGIN, GEE AND DAHL, P.C.
- Practice address
- 1009 Montgomery Hwy
Suite 200
Birmingham, AL 35216-2831 - Phone
- (205) 397-9400
- Fax
- (205) 397-9455
- NPI assigned
- Aug 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Bledsoe
- Title
- Manager
- Phone
- (205) 397-9406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1009 Montgomery Hwy
Suite 200
Birmingham, AL 35216-2831
Mailing address
1009 Montgomery Hwy
Suite 200
Birmingham, AL 35216-2831
Phone (205) 397-9400
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529102180 | Medicaid | AL | |
| 000038441 | Medicaid | AL | |
| 000003580 | Medicaid | AL | |
| 000004239 | Medicaid | AL | |
| 000087072 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050419000133 | AL | Part B Supplier - Clinic/Group Practice | 7618915950 |
Receives reassigned benefits from 7 practitioners Practice locations: Birmingham, AL |
National Provider Directory
National Provider DirectoryLocations
1009 Montgomery Hwy
Ste 20
Vestavia Hills, AL 35216
1009 Montgomery Hwy
Ste 200
Vestavia Hills, AL 35216
Phone (205) 397-9400
Interoperability endpoints
- rwfeagin@alabamaeyemd.intellechartdirect.net
- adahl@alabamaeyemd.intellechartdirect.net
- kgee@alabamaeyemd.intellechartdirect.net
- sregister@alabamaeyemd.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692057600000",
"number": "1104939008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 MONTGOMERY HWY",
"address_2": "SUITE 200",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352162831",
"telephone_number": "205-397-9400",
"fax_number": "205-397-9455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 MONTGOMERY HWY",
"address_2": "SUITE 200",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352162831",
"telephone_number": "205-397-9400",
"fax_number": "205-397-9455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS. FEAGIN, GEE AND DAHL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A",
"authorized_official_last_name": "BLEDSOE",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "205-397-9406"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529102180",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000038441",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000003580",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000004239",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000087072",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.