Individual provider Active NPI

Edith C Agee, PHYSICIAN ASSISTANT

  • Surgical Physician Assistant
  • Montgomery, AL
National Provider Identifier
1821295544
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA-62 Issued in AL
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120725000574 AL Practitioner - Physician Assistant 0042476673 Reassigns benefits to 2 organizations

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
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

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

LicenseStateTypeSpecialty
PA-62ALMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Tennessee Inc CurrentSince Oct 1, 2016 Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Dec 27, 2022 Accepting new patients
Nes Tennessee Inc CurrentSince Oct 1, 2016 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

  • Direct secure messaging: edith.agee.1@9186.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.