Catesby Penn Ulversoy, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2195 Issued in AL

Practice address

4721 Chace Cir
Hoover, AL 35244-3700

Phone

(205) 716-6054

Fax

(205) 823-5218

NPI assigned

Jul 6, 2022

Last updated

Nov 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Catesby Penn Former name

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Birmingham Gastroenterology Associates PCGroup PAC ID 9537107594, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Birmingham Gastroenterology Associates PC

  • Gastroenterology Physician
  • Birmingham, AL
  • NPI 1366406514

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment
• Alabama Vein Specialists Group LLC

  dba Alabama Vein Center

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Hoover, AL
  • NPI 1972994473

  Single Specialty

  NPD
• Birmingham Gastroenterology Associates PC

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
  • NPI 1861926131
  NPD
• Olive Branch Dermatology LLC

  • Dermatology Physician
  • Hoover, AL
  • NPI 1750197794

  Single Specialty

  NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1407589534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 CHACE CIR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443700",
            "telephone_number": "205-716-6054",
            "fax_number": "205-823-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 CHACE CIR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443700",
            "telephone_number": "205-716-6054",
            "fax_number": "205-823-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULVERSOY",
        "first_name": "CATESBY",
        "middle_name": "PENN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11104",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "2195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATESBY",
            "last_name": "PENN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Regina Turner, LPC, NCC
• TVPG LLC (Tria Vision Physician Group, LLC)
• Tymes' Therapeutic Solution, LLC
• Uab Family and Community Medicine
• Ultimate Edge Sports Medicine
• James Edwin Underwood Jr., PHARMD
• Sydney Bireley Underwood, ALC
• Zharia Univers
• Upperline Healthcare, PC
• Claire Williamson Ussery, DC

• Physician Assistant in Hoover, AL
• Providers in Hoover, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.