Active NPI
Katie Joffe, PA-C
- Physician Assistant
- Bay Minette, AL
National Provider Identifier
1285996678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.1063
- Practice address
- 1815 Hand Ave
Bay Minette, AL 36507-4110 - Phone
- (251) 937-5521
- NPI assigned
- Jun 12, 2012
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.1063 | AL | Primary |
| Medical Physician Assistant | 363AM0700X | 006470 | GA |
Addresses
Primary practice location
1815 Hand Ave
Bay Minette, AL 36507-4110
Mailing address
912 Van Ave Apt 626
Daphne, AL 36526-8615
Other practice location 1
204 Professional Ct SE
Calhoun, GA 30701-7020
Phone (706) 625-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA.1063 | Other | AL | PA LICENSE ALABAMA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006470 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agc Pediatrics, LLC | Past | Accepting new patients | |
| Agc Pediatrics, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DEJAAA
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Fairhope, AL
- NPI 1154378271
-
- Emergency Medicine Physician
- Bay Minette, AL
- NPI 1578048278
-
- Specialist
- Calhoun, GA
- NPI 1356475214
-
- Pediatric Nurse Practitioner
- Cartersville, GA
- NPI 1851708242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1285996678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 VAN AVE APT 626",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365268615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 HAND AVE",
"city": "BAY MINETTE",
"state": "AL",
"postal_code": "365074110",
"telephone_number": "251-937-5521"
}
],
"practiceLocations": [
{
"address_1": "204 Professional Ct SE",
"address_purpose": "LOCATION",
"city": "Calhoun",
"state": "GA",
"postal_code": "307017020",
"country_code": "US",
"telephone_number": "706-625-5900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOFFE",
"first_name": "KATIE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-12",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA.1063",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "006470",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE ALABAMA",
"identifier": "PA.1063",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bay Minette, AL
- Imc-North Baldwin Internal Medicine LLC
- Imc-North Baldwin Primary Plus, LLC (North Baldwin Primary Plus)
- Christine Denise Jackson, APRN,FNP-C
- Latonya James, M.D
- Lindsey Neidhardt Jenkins, PHARMD
- Jennifer Johnson, SLP
- Jonathan Denton DMD PC (Save-On Dental Care)
- Jonathan Smith, M.D., P.C.
- Kayla Jordan
- Mary Kercher
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.