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AGAPE MEDICINE LLC
NPI 1073481123
Family Medicine in Altoona, AL

Active since October 29, 2025CLIA 01D2189593 · Waiver
42598 STATE HIGHWAY 75, ALTOONA, AL 35952(205) 466-9096(205) 466-9053 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Agape Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGAPE MEDICINE LLC (NPI 1073481123) is a healthcare organization registered as a family medicine in Altoona, Alabama and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through August 2, 2028 and lists Kasey H Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1073481123
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAGAPE MEDICINE LLC
Location Address42598 STATE HIGHWAY 75Altoona, AL 35952-6566
Mailing Address1274 Mount Carmel RdAltoona, AL 35952-9111 · (256) 298-6768
Phone(205) 466-9096
Fax(205) 466-9053
Organization SubpartNo
Authorized OfficialKasey H WilsonOwner · (256) 298-6768
Enumeration DateOctober 29, 2025
Last NPPES UpdateMarch 10, 2026
NPPES CertifiedMarch 10, 2026
✔ NPI 1073481123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
42598 STATE HIGHWAY 75, Altoona, AL 35952
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agape Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Agape Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kasey Wilson, MSN, FNP-C
Nurse Practitioner
NPI 1578142204
42598 STATE HIGHWAY 75
Altoona, AL 35952
(205) 466-9096
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2189593

Agape Medicine LLC · Altoona, AL
Active · expires Aug 2, 2028
CLIA Number01D2189593
Laboratory TypePhysician Office
Certificate Effective DateAugust 3, 2026
Certificate Expiration DateAugust 2, 2028
Laboratory DirectorKasey H. Wilson
Laboratory Phone(205) 466-9096
Laboratory LocationAgape Medicine LLC42598 State Highway 75, Altoona, AL 35952
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agape Medicine LLC's NPI number?

The NPI number for Agape Medicine LLC is 1073481123. It was assigned to this organization in the NPPES registry on October 29, 2025.

Where is Agape Medicine LLC located?

Agape Medicine LLC is located at 42598 State Highway 75, Altoona, AL 35952. The listed phone number is (205) 466-9096.

What is Agape Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Agape Medicine LLC enrolled in Medicare?

Yes. Agape Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agape Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Agape Medicine LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Agape Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2189593) is associated with this NPI, valid through August 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Agape Medicine LLC was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.