Active NPI
Jessetta Cargus, O.D.
- Optometrist
- Bessemer, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S882TA441
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51003125 | Other | AL | BCBS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S882TA441 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Alabama at Birmingham | Optometrist | Current | Accepting new patients |
| University of Alabama at Birmingham | Current | Accepting new patients | |
| Brookstone Optical LLC | Optometrist | Current | Accepting new patients |
| University of Alabama at Birmingham | Current | Accepting new patients | |
| Cargus in the Community LLC | Optometrist | Current | 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.
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1184738478
-
- Optometrist
- Bessemer, AL
- NPI 1447875919
-
- Optometrist
- Bessemer, AL
- NPI 1568232940
-
- Optometrist
- Birmingham, AL
- NPI 1487677811
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.