Active NPI
Edith C Agee, PHYSICIAN ASSISTANT
- Surgical Physician Assistant
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA-62
- Practice address
- 2101 Chestnut St
Montgomery, AL 36106-1112 - Phone
- (334) 265-9225
- Fax
- (334) 240-6653
- NPI assigned
- Jun 27, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA-62 | AL | Primary |
Addresses
Primary practice location
2101 Chestnut St
Montgomery, AL 36106-1112
Mailing address
2101 Chestnut St
Montgomery, AL 36106-1112
Phone (334) 265-9225
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
- Physician Assistant
- Education
- University of Alabama School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1722 Pine St
Montgomery, AL 36106-1160
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-62 | AL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Tennessee Inc | Current | Accepting new patients | |
| Jackson Hospital & Clinic, Inc. | Current | Accepting new patients | |
| Nes Tennessee Inc | Current | Accepting new patients | |
| Jackson Hospital and Clinic Inc. | Past | Accepting new patients |
Locations
1722 Pine St
Ste 502
Montgomery, AL 36106
Phone (334) 293-8123
1722 Pine St
Ste 804
Montgomery, AL 36106
Phone (334) 834-7221
1722 Pine St
Ste 904
Montgomery, AL 36106
Phone (334) 265-9225
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000
7300 State Highway 121
Ste 370374
McKinney, TX 75070
Interoperability endpoints
- edith.agee.1@9186.direct.athenahealth.com
- edith.agee.d1.p1@direct.extendedarm.nextgenshare.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.
-
- Emergency Medicine Physician
- Montgomery, AL
- NPI 1073264107
-
- Emergency Medicine Physician
- Montgomery, AL
- NPI 1437606605
-
dba Jackson Pelvic Floor Therapy
- Physical Therapist
- Montgomery, AL
- NPI 1265325823
-
- Emergency Medicine Physician
- Monroeville, AL
- NPI 1013519230
-
- Emergency Medicine Physician
- Phenix City, AL
- NPI 1629609631
-
dba Jackson Clinic Cardiology Suite 402
- Cardiovascular Disease Physician
- Montgomery, AL
- NPI 1194261669
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1043262488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821295544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 CHESTNUT ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061112",
"telephone_number": "334-265-9225",
"fax_number": "334-240-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 CHESTNUT ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061112",
"telephone_number": "334-265-9225",
"fax_number": "334-240-6653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGEE",
"first_name": "EDITH",
"middle_name": "C",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AL",
"license": "PA-62",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- 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.