Individual provider Active NPI

Atia Aroonsakulwongse, PA

  • Medical Physician Assistant
  • Vestavia Hills, AL
National Provider Identifier
1679387351
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1934 Issued in AL
Practice address
1021 Montgomery Hwy Ste 201
Vestavia Hills, AL 35216-2805
Phone
(205) 783-5900
Fax
(205) 971-1927
NPI assigned
Feb 4, 2025
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1934 AL Primary

Addresses

Primary practice location

1021 Montgomery Hwy Ste 201
Vestavia Hills, AL 35216-2805

Mailing address

1021 Montgomery Hwy Ste 201
Vestavia Hills, AL 35216-2805
Phone (205) 783-5900

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
I20250327001414 AL Practitioner - Physician Assistant 0840713137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physician Services, LLCGroup PAC ID 4385651751, 92 clinicians

Practice addresses (Care Compare)

1021 Montgomery Hwy
Vestavia Hills, AL 35216-2805
Phone (205) 421-4803

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-1000

5890 Valley Rd
Suite 200
Birmingham, AL 35235-8669
Phone (205) 655-7600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1934ALMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Orthopedic Specialists LLC PastSince Feb 9, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: atia.aroonsakulwongse.1@9954.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9954/brand/1/csg/81/fhir/r4

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": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1679387351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 MONTGOMERY HWY STE 201",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162805",
            "telephone_number": "205-783-5900",
            "fax_number": "205-971-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MONTGOMERY HWY STE 201",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162805",
            "telephone_number": "205-783-5900",
            "fax_number": "205-971-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AROONSAKULWONGSE",
        "first_name": "ATIA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA1934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

Verify at the official NPI Registry.