Individual provider Active NPI

Jessetta Cargus, O.D.

  • Optometrist
  • Bessemer, AL
National Provider Identifier
1710997192
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S882TA441 Issued in AL
Practice address
1201 Powder Plant Rd Unit 15
Bessemer, AL 35022-5247
Phone
(205) 477-0229
Fax
(205) 477-0239
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S882TA441 AL Primary

Addresses

Primary practice location

1201 Powder Plant Rd Unit 15
Bessemer, AL 35022-5247

Mailing address

500 Flint Parc Cir
Bessemer, AL 35022-6157
Phone (205) 422-6248

Other practice location 1

500 Flint Parc Cir
Bessemer, AL 35022-6157
Phone (205) 422-6248

Other practice location 2

2780 John Hawkins Pkwy
Hoover, AL 35244-4001
Phone (205) 477-0229

Other identifiers 1

IdentifierTypeStateIssuer
51003125OtherALBCBS

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525000776 AL Practitioner - Optometry 5496797847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S882TA441ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Alabama at Birmingham Optometrist CurrentSince Sep 5, 2019 Accepting new patients
University of Alabama at Birmingham CurrentSince Sep 5, 2019 Accepting new patients
Brookstone Optical LLC Optometrist CurrentSince Jun 1, 2020 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
Cargus in the Community LLC Optometrist CurrentSince Jan 7, 2024 Accepting new patients

Locations

1201 Powder Plant Rd
Unit 15
Bessemer, AL 35022
Phone (205) 477-0229

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

1716 University Blvd
#G80A
Birmingham, AL 35233
Phone (205) 934-4748

2780 John Hawkins Pkwy
Hoover, AL 35244
Phone (205) 733-0055

4760 Eastern Valley Rd
Ste 132
Mc Calla, AL 35111
Phone (205) 477-0229

Organizations & group practices 5

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1710997192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FLINT PARC CIR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226157",
            "telephone_number": "205-422-6248",
            "fax_number": "205-477-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 POWDER PLANT RD UNIT 15",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225247",
            "telephone_number": "205-477-0229",
            "fax_number": "205-477-0239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Flint Parc Cir",
            "address_purpose": "LOCATION",
            "city": "Bessemer",
            "state": "AL",
            "postal_code": "350226157",
            "country_code": "US",
            "telephone_number": "205-422-6248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2780 John Hawkins Pkwy",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352444001",
            "country_code": "US",
            "telephone_number": "205-477-0229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARGUS",
        "first_name": "JESSETTA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S882TA441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51003125",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.