Peggy Fogg, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0371998 Issued in AL

Practice address

48 Medical Park Dr E Ste 355
Birmingham, AL 35235-3470

Phone

(205) 838-3036

Fax

(205) 838-5832

NPI assigned

Oct 6, 2006

Last updated

Feb 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• BBH Women's Care, LLC

  • Obstetrics & Gynecology Physician
  • Birmingham, AL
  • NPI 1659086791
  NPD
• Board of Trustees of the University of Alabama

  dba UA Speech and Hearing Center

  • Audiologist
  • Tuscaloosa, AL
  • NPI 1285771261
  NPD (past)
• The Board of Trustees of the University of Alabama

  dba UA Student Health Center & Pharmacy

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1467599399
  NPD (past)
• The Radiology Clinic LLC

  • Diagnostic Radiology Physician
  • Tuscaloosa, AL
  • NPI 1649235243
  NPD (past)
• Comprehensive Womens Center

  • Specialist
  • Wheeling, IL
  • NPI 1164566345
  NPD (past)
• Midwest Center for Women's Health Care, LTD.

  • Obstetrics & Gynecology Physician
  • Bannockburn, IL
  • NPI 1447200654
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1255428793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 PETER BRYCE BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017456",
            "telephone_number": "205-348-6262",
            "fax_number": "205-348-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E STE 355",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353470",
            "telephone_number": "205-838-3036",
            "fax_number": "205-838-5832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1083 Lake Cook Rd",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "IL",
            "postal_code": "60090",
            "country_code": "US",
            "telephone_number": "847-808-7070",
            "fax_number": "847-808-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGG",
        "first_name": "PEGGY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "041333443",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209004753",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "0371998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1-166208",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ray J. Flynn, DSW
• Aaron Davis Fobian, PHD
• Focus 1001, LLC
• Focus Care
• Focus MD Al 1020 LLC
• Susanne Eileen Fogger, ARNP-BC
• Katie Elizabeth Fogle, MD
• Gani O Folami, LPC
• Zachery Paul Folds
• Holly Foley

• Family Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.