Individual provider Active NPI

Sarah Smith Bagwell, MD

  • Internal Medicine Physician
  • Homewood, AL
National Provider Identifier
1629488101
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.34707 Issued in AL
Practice address
2910 Crescent Ave Ste 100
Homewood, AL 35209-2522
Phone
(205) 380-8820
Fax
(205) 380-8825
NPI assigned
May 6, 2014
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.34707 AL Primary
Pediatrics Physician 208000000X MD.34707 AL

Addresses

Primary practice location

2910 Crescent Ave Ste 100
Homewood, AL 35209-2522

Mailing address

2910 Crescent Ave Ste 100
Homewood, AL 35209-2522
Phone (205) 380-8820

Other names 1

  • Dr. Sarah Smith Other 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181101003425 AL Practitioner - Internal Medicine 4587887179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Health, PCGroup PAC ID 2466538368, 2 clinicians

Practice addresses (Care Compare)

2910 Crescent Ave
Suite 100
Homewood, AL 35209-2522
Phone (205) 380-8820

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.34707ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Oct 1, 2018 Accepting new patients
Signature Health PC Internal Medicine CurrentSince Apr 10, 2024 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

2910 Crescent Ave
Ste 100
Homewood, AL 35209
Phone (205) 380-8820

Interoperability endpoints

  • Direct secure messaging: sarah.bagwell.1@8004.direct.athenahealth.com

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": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1629488101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 CRESCENT AVE STE 100",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352092522",
            "telephone_number": "205-380-8820",
            "fax_number": "205-380-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 CRESCENT AVE STE 100",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352092522",
            "telephone_number": "205-380-8820",
            "fax_number": "205-380-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGWELL",
        "first_name": "SARAH",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.34707",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.34707",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SMITH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.