Individual provider Active NPI

Dwight Lee Agee, DC

  • Chiropractor
  • Northport, AL
National Provider Identifier
1225015688
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1214 Issued in AL
Practice address
2811 Lurleen B Wallace Blvd
Ste 12
Northport, AL 35476
Phone
(205) 339-3333
Fax
(205) 339-2023
NPI assigned
Dec 28, 2005
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1214 AL Primary

Addresses

Primary practice location

2811 Lurleen B Wallace Blvd
Ste 12
Northport, AL 35476

Mailing address

2811 Lurleen B Wallace Blvd
Ste 12
Northport, AL 35476
Phone (205) 339-3333

Other identifiers 1

IdentifierTypeStateIssuer
9532771OtherALCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000308 AL Practitioner - Chiropractic 0042303380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agee Chiropractic PCGroup PAC ID 0547283699, 3 clinicians

Practice addresses (Care Compare)

2811 Lurleen B Wallace Blvd
Suite 12
Northport, AL 35476-3257
Phone (205) 339-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1214ALMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Agee Chiropractic, P.C. Chiropractor CurrentSince Oct 18, 1995 Accepting new patients

Locations

2811 Lurleen B Wallace Blvd
Ste 12
Northport, AL 35476
Phone (205) 339-3333

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1225015688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 LURLEEN B WALLACE BLVD",
            "address_2": "STE 12",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "35476",
            "telephone_number": "205-339-3333",
            "fax_number": "205-339-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 LURLEEN B WALLACE BLVD",
            "address_2": "STE 12",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "35476",
            "telephone_number": "205-339-3333",
            "fax_number": "205-339-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGEE",
        "first_name": "DWIGHT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9532771",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.