Elizabeth Coggins, CRNP
Individual provider Active NPI Pulmonary Disease Physician · Birmingham, AL
NPI 1982051967 · NPPES record last updated Oct 18, 2016
Key facts
- NPI
- 1982051967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 1125000 (AL)
- Practice address
- 817 Princeton Ave SW
Suite 199
Birmingham, AL 35211-1333 - Phone
- (205) 780-1920
- Fax
- (205) 780-1967
- NPI assigned
- May 19, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Physician Services - Southeast Professional Corporation
Anesthesiologists Associated PC
Practice addresses (Care Compare)
1000 1St St N
Alabaster, AL 35007-8703
Phone (205) 620-8100
701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (412) 822-7410
Hospital & facility affiliations
- Shelby Baptist Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160906002219 | AL | Practitioner - Nurse Practitioner | 6305132085 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1125000 | AL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiologists Associated PC | Current |
Accepting new patients | |
| Anesthesiologists Associated PC | Current |
Accepting new patients | |
| Anesthesiologists Associated PC | Current |
Accepting new patients |
Locations
1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100
701 Princeton Ave SW
Ste Crs
Birmingham, AL 35211
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930
3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 1125000 | AL | Yes |
Addresses
Primary practice location
817 Princeton Ave SW
Suite 199
Birmingham, AL 35211-1333
Mailing address
817 Princeton Ave SW
Suite 199
Birmingham, AL 35211-1333
Other providers in Birmingham, AL
- David Lindsey Coffman
- Kimberly McAleer Coffman
- Noah Daniel Cogdell
- Martin Steven Cogen
- Kennedy Sinclair Coggin
- Carl Herndon Coghill III
- Matthew Taylor Coghill
- Martha Kaitlyn Coghlan
- Cognitive Centers of America, LLC
- Adam Wesley Cohen
All providers in Birmingham, AL · Pulmonary Disease Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.