Individual provider Active NPI

Patricia C Jaggers, MD

  • Internal Medicine Physician
  • Baileyton, AL
National Provider Identifier
1780694067
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13474 Issued in AL
Practice address
105 Fire Station Rd
Baileyton, AL 35019-9609
Phone
(256) 735-4057
NPI assigned
Aug 9, 2006
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
172004OtherVAANTHEM BS
6006973MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181005000476 AL Practitioner - Emergency Medicine 3870617848 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13474ALMDEmergency Medicine Physician
0101050261VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daily Medical, LLC Emergency Medicine CurrentSince Jan 24, 2023 Accepting new patients
Northwest Alabama Emergency Medicine LLC Emergency Medicine CurrentSince Sep 1, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.