Individual provider Active NPI

Clay Sheffield Agee, FNP-C

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1194201277
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-185604 Issued in AL
Practice address
6701 Airport Blvd Ste A101
Mobile, AL 36608-6767
Phone
(251) 660-3515
Fax
(251) 660-3516
NPI assigned
Jul 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904674 MS
Family Nurse Practitioner 363LF0000X 3-000004 AL
Family Nurse Practitioner 363LF0000X 1-185604 AL Primary
Nurse Practitioner 363L00000X 24450 TN

Addresses

Primary practice location

6701 Airport Blvd Ste A101
Mobile, AL 36608-6767

Mailing address

6701 Airport Blvd Ste D143
Mobile, AL 36608-6701
Phone (251) 342-3949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL, MS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190123004030 TN Practitioner - Nurse Practitioner 3476890823 Reassigns benefits to 1 organization
I20200622001705 AL Practitioner - Nurse Practitioner 3476890823 Reassigns benefits to 2 organizations
I20210708000032 MS Practitioner - Nurse Practitioner 3476890823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Health Community Providers LLCGroup PAC ID 2062875479, 97 clinicians

Practice addresses (Care Compare)

6701 Airport Blvd
Suite B111
Mobile, AL 36608-6766
Phone (251) 660-3515

6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-3580

Hospital & facility affiliations

  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090
  • USA Health University Hospital Hospital, Mobile, AL, CCN 010087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
24450TNMDNurse Practitioner
1-185604ALMDFamily Nurse Practitioner
3-000004ALMDFamily Nurse Practitioner
904674MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Providence Healthcare Services CurrentSince May 18, 2020 Accepting new patients
Alabama Providence Healthcare Services Current Accepting new patients
Alabama Providence Healthcare Services CurrentSince May 18, 2020 Accepting new patients
USA Health Community Providers LLC CurrentSince Sep 1, 2023 Accepting new patients
Providence Healthcare Services Current Accepting new patients
Saint Thomas Medical Partners CurrentSince Nov 13, 2018 Accepting new patients
Mississippi Providence Healthcare Services Inc. CurrentSince Jun 23, 2021 Accepting new patients

Locations

19140 S 3rd St
Citronelle, AL 36522
Phone (251) 866-0086

6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

6701 Airport Blvd
Ste B111
Mobile, AL 36608
Phone (251) 378-3000

5907 Highway 90
Pascagoula, MS 39563
Phone (225) 769-1611

4230 Harding Pike
Ste 330
Nashville, TN 37205
Phone (800) 345-5016

Interoperability endpoints

  • Direct secure messaging: clay.agee.1@16253.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1194201277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D143",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086701",
            "telephone_number": "251-342-3949",
            "fax_number": "251-266-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE A101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086767",
            "telephone_number": "251-660-3515",
            "fax_number": "251-660-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGEE",
        "first_name": "CLAY",
        "middle_name": "SHEFFIELD",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904674",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-000004",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-185604",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "24450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.