Individual provider Active NPI

Sarahreagan Tepool Hughes, PA-C

  • Medical Physician Assistant
  • Birmingham, AL
National Provider Identifier
1235722380
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.1738 Issued in AL
Practice address
4337 Mountaindale Rd
Birmingham, AL 35213-1606
Phone
(256) 468-7711
NPI assigned
Feb 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.1738 AL
Medical Physician Assistant 363AM0700X PA.1738 AL Primary

Addresses

Primary practice location

4337 Mountaindale Rd
Birmingham, AL 35213-1606

Mailing address

2100 16TH Ave S
Birmingham, AL 35205-5021
Phone (256) 468-7711

Other names 1

  • Sarah Reagan Tepool Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230210000691 TN Practitioner - Physician Assistant 2668862848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uderm, PLLCGroup PAC ID 8325458532, 9 clinicians

Practice addresses (Care Compare)

2835 Northpoint Blvd
Suite 111
Hixson, TN 37343-4862
Phone (423) 870-3376

5243 Little Debbie Pkwy
Suite 111
Ooltewah, TN 37363-4515
Phone (423) 206-2777

Merit-based Incentive Payment System (MIPS)

Final score
91.97 of 100Reported as group
Quality
83.94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5297TNMDInternal Medicine Physician
PA.1738ALMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: shughes@uderm.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1235722380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 16TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352055021",
            "telephone_number": "256-468-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 MOUNTAINDALE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131606",
            "telephone_number": "256-468-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "SARAHREAGAN",
        "middle_name": "TEPOOL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1738",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA.1738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "TEPOOL",
            "middle_name": "REAGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.