CAITLIN EDGMON
NPI 1386049856
Nurse Practitioner - Women's Health in Athens, AL

Q: What is Caitlin Edgmon's NPI number?

The NPI number for Caitlin Edgmon is 1386049856. It was assigned to this individual provider in the NPPES registry on October 27, 2014. The provider is also known as Caitlin Gareri Whnp-Cp.

Q: What is Caitlin Edgmon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Caitlin Edgmon was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since October 27, 2014PECOS EnrolledAccepts Medicare Assignment

1005 W MARKET ST STE 17, ATHENS, AL 35611(256) 233-5000(256) 233-5361 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2025, Sep 14, 2020 (2 updates tracked since 2020).

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About Caitlin Edgmon NPPES

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

CAITLIN EDGMON (NPI 1386049856) is an individual women's health provider in Athens, Alabama, licensed in Alabama (1-143980) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1386049856

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameCAITLIN EDGMON

Location Address1005 W MARKET ST STE 17Athens, AL 35611-2454

Mailing Address1005 W Market St Ste 17Athens, AL 35611-2454 · (256) 233-5000 · Fax (256) 233-5361

Phone(256) 233-5000

Fax(256) 233-5361

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 27, 2014

Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2025

✔ NPI 1386049856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in AL · 1-143980

1005 W MARKET ST STE 17, Athens, AL 35611

Open in Google Maps ↗

Other Names 1

Former Name (1)Caitlin Gareri Whnp-cp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caitlin Edgmon 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.

PECOS PAC ID8123331543

PECOS Enrollment IDI20150714002492

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

19 services17 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35611 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

Most-billed visit code 99214

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 3

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

SHANNA LESLIE SOWELL

Obstetrics & Gynecology

1005 W MARKET ST STE 17
ATHENS, AL 35611

Limestone County (256) 233-5000

VALLEY OBSTETRICS & WOMENS PELVIC HEALTH CENTER

Obstetrics & Gynecology

1005 W MARKET ST STE 17
ATHENS, AL 35611

Limestone County (256) 233-5000

JOADA PHILIPPE MD

Obstetrics & Gynecology

1005 W MARKET ST STE 17
ATHENS, AL 35611

Limestone County (256) 233-5000

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 Caitlin Edgmon's NPI number?

The NPI number for Caitlin Edgmon is 1386049856. It was assigned to this individual provider in the NPPES registry on October 27, 2014. The provider is also known as Caitlin Gareri Whnp-Cp.

Where is Caitlin Edgmon located?

Caitlin Edgmon practices at 1005 W Market St Ste 17, Athens, AL 35611. The listed phone number is (256) 233-5000.

What is Caitlin Edgmon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Caitlin Edgmon enrolled in Medicare?

Yes. Caitlin Edgmon 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.

What insurance does Caitlin Edgmon accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Caitlin Edgmon 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 Caitlin Edgmon was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.