Individual provider Active NPI

Caitlin Edgmon

  • Women's Health Nurse Practitioner
  • Athens, AL
National Provider Identifier
1386049856
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1-143980 Issued in AL
Practice address
1005 W Market St Ste 17
Athens, AL 35611-2454
Phone
(256) 233-5000
Fax
(256) 233-5361
NPI assigned
Oct 27, 2014
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1-143980 AL Primary

Addresses

Primary practice location

1005 W Market St Ste 17
Athens, AL 35611-2454

Mailing address

1005 W Market St Ste 17
Athens, AL 35611-2454
Phone (256) 233-5000

Other names 1

  • Caitlin Gareri Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714002492 AL Practitioner - Nurse Practitioner 8123331543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Obstetrics and Womens Pelvic Health CenterGroup PAC ID 3476726480, 7 clinicians

Practice addresses (Care Compare)

1005 W Market St
Suite 17
Athens, AL 35611-2454
Phone (256) 233-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics & Womens Pelvic Health Center CurrentSince Dec 9, 2024 Accepting new patients
Tennessee Valley Total Women's Care, Inc. PastSince May 11, 2015 Accepting new patients

Locations

1005 W Market St
Ste 17
Athens, AL 35611
Phone (256) 233-3100

Organizations & group practices 2

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.

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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1386049856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W MARKET ST STE 17",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112454",
            "telephone_number": "256-233-5000",
            "fax_number": "256-233-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W MARKET ST STE 17",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112454",
            "telephone_number": "256-233-5000",
            "fax_number": "256-233-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGMON",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-143980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "GARERI",
            "credential": "WHNP-CP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.