Active NPI
Kosi James Avotri, M.D.
- Pediatrics Physician
- Irvington, AL
National Provider Identifier
1922057645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 22397
- Practice address
- 12701 Padgett Switch Rd
Irvington, AL 36544-4011 - Phone
- (251) 824-2174
- NPI assigned
- May 9, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 22397 | AL | Primary |
Addresses
Primary practice location
12701 Padgett Switch Rd
Irvington, AL 36544-4011
Mailing address
12701 Padgett Switch Rd
Irvington, AL 36544-4011
Phone (251) 824-2174
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167989 | Medicaid | AL | |
| 511-92411 | Other | AL | BCBS |
| 200280 | Medicaid | AL |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040323001041 | AL | Practitioner - Pediatric Medicine | 0749171353 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22397 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayou la Batre Area Health Development Board, Inc. | Current | Accepting new patients | |
| Bayou la Batre Area Health Development Board, Inc. | Current | Accepting new patients |
Locations
12701 Padgett Switch Rd
Irvington, AL 36544
Phone (251) 824-2174
7777 Highway 43
Mc Intosh, AL 36553
Phone (251) 944-2842
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CIEDDD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Irvington, AL
- NPI 1396794426
AL
-
- Clinic/Center
- McIntosh, AL
- NPI 1023068459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1922057645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12701 PADGETT SWITCH RD",
"city": "IRVINGTON",
"state": "AL",
"postal_code": "365444011",
"telephone_number": "251-824-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12701 PADGETT SWITCH RD",
"city": "IRVINGTON",
"state": "AL",
"postal_code": "365444011",
"telephone_number": "251-824-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVOTRI",
"first_name": "KOSI",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "22397",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167989",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "511-92411",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200280",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, AL
- Ashly M. Acosta, CRNP
- Lilly Deonna Adkison, FNP
- Anywhere Kare LLC
- Susan Jones Ashbee, M.D.
- Savannah M Ashley, LMSW
- Carla Ann Baxley, CRNP
- Bayou la Batre Area Health Development Board, Inc.
- Bayou la Batre Area Health Development Board, Inc.
- Bayou la Batre Area Health Development Board, Inc.
- Bayou la Batre Area Health Development Board, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.