Individual provider Active NPI

Joshua Kenneth Edgerton, M.D.

  • Surgery Physician
  • Mobile, AL
National Provider Identifier
1366736159
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.49740 Issued in AL
Practice address
6701 Airport Blvd Ste A208
Mobile, AL 36608-3763
Phone
(251) 266-3544
Fax
(251) 266-3543
NPI assigned
Jun 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2016-01821 NC
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD.49740 AL Primary

Addresses

Primary practice location

6701 Airport Blvd Ste A208
Mobile, AL 36608-3763

Mailing address

PO Box 36258
Belfast, ME 04915-1204
Phone (251) 318-2678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161108000716 NC Practitioner - General Surgery 7214216654 Reassigns benefits to 1 organization
I20241125002297 AL Practitioner - General Surgery 7214216654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000

75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Rutherford Physician Practices LLC CurrentSince Mar 7, 2018 Accepting new patients
USA Health Physician Billing Services LLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
USA Health Community Providers LLC Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Jan 1, 2025 Accepting new patients
DLP Rutherford Physician Practices LLC Single Specialty CurrentSince Mar 7, 2018 Accepting new patients
DLP Rutherford Physician Practices LLC Single Specialty Past Accepting new patients

Locations

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

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

6701 Airport Blvd
Ste A208
Mobile, AL 36608
Phone (205) 633-2262

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

45 E Mills St
Columbus, NC 28722
Phone (828) 894-8213

801 W Mills St
Ste B
Columbus, NC 28722
Phone (828) 692-8097

330 NC 108 Hwy
Rutherfordton, NC 28139
Phone (828) 286-1743

139 Dr Henry Norris Dr
Rutherfordton, NC 28139
Phone (828) 287-9260

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

Organizations & group practices 6

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 1

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": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1366736159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36258",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151204",
            "telephone_number": "251-318-2678",
            "fax_number": "251-405-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE A208",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083763",
            "telephone_number": "251-266-3544",
            "fax_number": "251-266-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGERTON",
        "first_name": "JOSHUA",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2016-01821",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD.49740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.