Individual provider Active NPI

Carrie Dodgen, PA-C

  • Surgical Physician Assistant
  • Birmingham, AL
National Provider Identifier
1700425329
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1583 Issued in AL
Practice address
2704 20TH St S Ste 100
Birmingham, AL 35209-1924
Phone
(205) 592-1800
NPI assigned
Dec 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1583 AL Primary

Addresses

Primary practice location

2704 20TH St S Ste 100
Birmingham, AL 35209-1924

Mailing address

2704 20TH St S Ste 100
Birmingham, AL 35209-1924
Phone (205) 592-1800

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
I20200519002864 AL Practitioner - Physician Assistant 8527499904 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Orthopedic CentersGroup PAC ID 2466430004, 19 clinicians

Practice addresses (Care Compare)

3102 Rainbow Dr
Rainbow City, AL 35906-5804

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Varicosity LLC CurrentSince May 1, 2026 Accepting new patients

Locations

2704 20th St S
#100
Homewood, AL 35209
Phone 2053831723225

1950 Berryhill Rd
Montgomery, AL 36117
Phone 2055921800209

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1700425329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 20TH ST S STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091924",
            "telephone_number": "205-592-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 20TH ST S STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091924",
            "telephone_number": "205-592-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGEN",
        "first_name": "CARRIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "1583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.