Active NPI
Patricia C Jaggers, MD
- Internal Medicine Physician
- Baileyton, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 13474
- Practice address
- 105 Fire Station Rd
Baileyton, AL 35019-9609 - Phone
- (256) 735-4057
- NPI assigned
- Aug 9, 2006
- Last updated
- Jan 24, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 13474 | AL | |
| Emergency Medicine Physician | 207P00000X | 0101050261 | VA | |
| Internal Medicine Physician | 207R00000X | 13474 | AL | Primary |
Addresses
Primary practice location
105 Fire Station Rd
Baileyton, AL 35019-9609
Mailing address
P.O. Box 10005
Florence, AL 35631-2005
Phone (256) 768-8350
Other practice location 1
205 Marengo St
Florence, AL 35630-6033
Phone (256) 768-8350
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172004 | Other | VA | ANTHEM BS |
| 6006973 | Medicaid | VA |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13474 | AL | MD | Emergency Medicine Physician |
| 0101050261 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daily Medical, LLC | Emergency Medicine | Current | Accepting new patients |
| Northwest Alabama Emergency Medicine LLC | Emergency Medicine | Current | Accepting new patients |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Linas & Associates PC | Past | Accepting new patients | |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
Locations
105 Fire Station Rd
Baileyton, AL 35019
Phone (256) 735-4057
1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900
205 Marengo St
Florence, AL 35630
Phone (256) 768-8350
201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600
Interoperability endpoints
- pat.jaggers@dailymed.directbygreenway.com
Organizations & group practices 6
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 Baileyton Family Medicine
- Family Nurse Practitioner
- Baileyton, AL
- NPI 1164996757
Emergency Medicine
-
- Emergency Medicine Physician
- Florence, AL
- NPI 1639692767
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1609869403
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1114942182
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1134475999
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1639193188
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": "1674518400000",
"number": "1780694067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 10005",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356312005",
"telephone_number": "256-768-8350",
"fax_number": "256-768-9187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 FIRE STATION RD",
"city": "BAILEYTON",
"state": "AL",
"postal_code": "350199609",
"telephone_number": "256-735-4057"
}
],
"practiceLocations": [
{
"address_1": "205 Marengo St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "AL",
"postal_code": "356306033",
"country_code": "US",
"telephone_number": "256-768-8350",
"fax_number": "256-768-9187",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAGGERS",
"first_name": "PATRICIA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "13474",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101050261",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "13474",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BS",
"identifier": "172004",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6006973",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baileyton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.