KATHLEEN PRIDGEN
NPI 1275809931
Internal Medicine in Birmingham, AL
About Kathleen Pridgen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN PRIDGEN (NPI 1275809931) is an individual internal medicine provider in Birmingham, Alabama, licensed in Alabama (34432) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of University Of Virginia School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathleen Pridgen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Pridgen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Birmingham, AL 35249
- Reassigned Medicare billing, Alabama enrollment
- 460 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BIRMINGHAM, AL 35233
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 Kathleen Pridgen's NPI number?
The NPI number for Kathleen Pridgen is 1275809931. It was assigned to this individual provider in the NPPES registry on March 27, 2012.
Where is Kathleen Pridgen located?
Kathleen Pridgen practices at 1717 6th Ave S, Birmingham, AL 35233. The listed phone number is (800) 822-8816.
What is Kathleen Pridgen's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kathleen Pridgen enrolled in Medicare?
Yes. Kathleen Pridgen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kathleen Pridgen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Pridgen reassigns Medicare benefits to University Of Alabama At Birmingham (Birmingham, AL). The 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 Kathleen Pridgen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Pridgen accept?
Health plans from Blue Cross and Blue Shield of Alabama list Kathleen Pridgen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kathleen Pridgen was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Kathleen Pridgen · NPI 1275809931
Internal Medicine physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since March 27, 2012.
## Identity
- **NPI:** 1275809931 (Entity type: Individual)
- **Enumerated:** March 27, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 34432 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1717 6TH AVE S, Birmingham, AL 35233-1801
- **Phone:** (800) 822-8816
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Alabama At Birmingham (NPI 1356674360, Birmingham, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Virginia School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** June 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1275809931) · Data from the CMS NPPES public registry.