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DR. ASHLEY PETTAWAY MD
NPI 1306306402
Psychiatry & Neurology - Psychiatry in Birmingham, AL

Active since March 23, 2019PECOS Enrolled
3800 COLONNADE PKWY STE 470, BIRMINGHAM, AL 35243(205) 259-6037(800) 961-2371 Get Directions Write a Review

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

Record update history: Aug 10, 2026, Jul 18, 2023, Jun 20, 2023 and 2 more (5 updates tracked since 2019).

About Dr. Ashley Pettaway Md NPPES

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

DR. ASHLEY PETTAWAY MD (NPI 1306306402) is an individual psychiatry provider in Birmingham, Alabama, licensed in Alabama (48925) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Duluth, and is a graduate of University Of Alabama School Of Medicine (2018).

NPPES Registry Identity

NPI1306306402
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ASHLEY PETTAWAYCredential: MD
Location Address3800 COLONNADE PKWY STE 470Birmingham, AL 35243-2351
Mailing Address1430 Gadsden Hwy Ste 116-540Birmingham, AL 35235-3103
Phone(205) 259-6037
Fax(800) 961-2371
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2018
Enumeration DateMarch 23, 2019
Last NPPES UpdateAugust 10, 20265 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1306306402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in AL · 48925✔ Licensed in MN · 81075✔ Licensed in KY · 57189
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3800 COLONNADE PKWY STE 470, Birmingham, AL 35243
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Secondary Practice Location 1

Location 1502 E 2nd StDuluth, MN 55805-1913 · Phone (218) 786-8364

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ashley Pettaway Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072840297
PECOS Enrollment IDI20251028002361
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ashley Pettaway reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Owensboro Health Medical Group Inc
260 mi
Family Medicine
420 HOPKINSVILLE ST
Greenville, KY 42345
  • Reassigned Medicare billing, Kentucky enrollment
  • 643 clinicians in this Medicare group
NPI 1891158119 (270) 377-2405
The Duluth Clinic Ltd
962 mi
Rehabilitation
4505 W SUPERIOR ST
Duluth, MN 55807
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,460 clinicians in this Medicare group
NPI 1730028770 (218) 786-3578

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 35243 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABRAMS PSYCHIATRY & WELLNESS
Clinic/Center (Mental Health (Including Community Mental Health Center))
3800 COLONNADE PKWY STE 470
BIRMINGHAM, AL 35243
Jefferson County (205) 259-6037
DR. AMBER ABRAMS MD
Psychiatry & Neurology (Psychiatry)
3800 COLONNADE PKWY STE 470
BIRMINGHAM, AL 35243
Jefferson County (205) 259-6949

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 Ashley Pettaway's NPI number?

The NPI number for Ashley Pettaway is 1306306402. It was assigned to this individual provider in the NPPES registry on March 23, 2019.

Where is Ashley Pettaway located?

Ashley Pettaway practices at 3800 Colonnade Pkwy Ste 470, Birmingham, AL 35243. The listed phone number is (205) 259-6037.

What is Ashley Pettaway's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ashley Pettaway enrolled in Medicare?

Yes. Ashley Pettaway is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ashley Pettaway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Pettaway reassigns Medicare benefits to 2 organizations: Owensboro Health Medical Group Inc (Greenville, KY) and The Duluth Clinic Ltd (Duluth, MN). Each 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 Ashley Pettaway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ashley Pettaway was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.