Active NPI
Aimee Kilgo
- Family Nurse Practitioner
- Centre, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-075826
- Practice address
- 1260 Chesnut Byp Ste a
Centre, AL 35960-2834 - Phone
- (256) 266-1544
- Fax
- (256) 266-1531
- NPI assigned
- Feb 21, 2014
- Last updated
- Dec 1, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-075826 | AL | Primary |
Addresses
Primary practice location
1260 Chesnut Byp Ste a
Centre, AL 35960-2834
Mailing address
1260 Chesnut Byp Ste a
Centre, AL 35960-2834
Phone (256) 266-1544
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1260 Chesnut Byp
Suite a
Centre, AL 35960-2834
Phone (256) 266-1544
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-075826 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essential Healthcare LLC | Current | Accepting new patients |
Locations
1260 Chesnut Byp
Ste A
Centre, AL 35960
Phone (256) 266-1544
396 Northwood Dr
Centre, AL 35960
Phone (256) 927-7222
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Lakeside Primary Care | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) General Partnership Interest Corporate Officer (100%) Operational/Managerial Control |
May 21, 2018 May 7, 2018 May 21, 2018 May 21, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Lakeside Primary Care
- Primary Care Nurse Practitioner
- Centre, AL
- NPI 1720572407
5% Or Greater Direct Ownership Interest, Corporate Officer, General Partnership Interest, Operational/Managerial Control
Organizations & group practices 1
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.
-
dba Lakeside Primary Care
- Primary Care Nurse Practitioner
- Centre, AL
- NPI 1720572407
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Anniston, AL
- NPI 1245298892
-
dba Atrium Health Floyd Cherokee Medical Center
- General Acute Care Hospital
- Centre, AL
- NPI 1962999664
-
dba DeKalb Regional Medical Center
- General Acute Care Hospital
- Fort Payne, AL
- NPI 1770344665
-
dba Atrium Health Floyd Medical Center
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
-
dba Adventhealth Redmond
- General Acute Care Hospital
- Rome, GA
- NPI 1508810565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1760807119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 CHESNUT BYP STE A",
"city": "CENTRE",
"state": "AL",
"postal_code": "359602834",
"telephone_number": "256-266-1544",
"fax_number": "256-266-1531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 CHESNUT BYP STE A",
"city": "CENTRE",
"state": "AL",
"postal_code": "359602834",
"telephone_number": "256-266-1544",
"fax_number": "256-266-1531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGO",
"first_name": "AIMEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-21",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-075826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centre, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.