Active NPI
James R Kilgore, PA-C
- Physician Assistant
- Hoover, AL
National Provider Identifier
1154321537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 149
- Practice address
- 2517 Woodfern Cir
Hoover, AL 35244-1467 - Phone
- (205) 987-1480
- NPI assigned
- Jul 28, 2005
- Last updated
- Oct 13, 2020
- 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 | 149 | AL | Primary |
Addresses
Primary practice location
2517 Woodfern Cir
Hoover, AL 35244-1467
Mailing address
2517 Woodfern Cir
Hoover, AL 35244-1467
Phone (205) 987-1480
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community of Hope Health Clinic- a Volunteers in Medicine Clinic | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Health Clinic/Center
- Pelham, AL
- NPI 1356927594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1154321537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2517 WOODFERN CIR",
"city": "HOOVER",
"state": "AL",
"postal_code": "352441467",
"telephone_number": "205-987-1480",
"fax_number": "205-824-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 WOODFERN CIR",
"city": "HOOVER",
"state": "AL",
"postal_code": "352441467",
"telephone_number": "205-987-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGORE",
"first_name": "JAMES",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.