ALETHA LAKAY EDISON MD
NPI 1528053519
Family Medicine in Madison, AL

Active since September 15, 2005PECOS EnrolledAccepts Medicare Assignment
7583 WALL TRIANA HWY, MADISON, AL 35757(256) 547-6119(256) 546-2981 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Aletha Lakay Edison Md NPPES

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

ALETHA LAKAY EDISON MD (NPI 1528053519) is an individual family medicine provider in Madison, Alabama, licensed in Alabama (00024685) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Opelousas General Health System, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1528053519
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALETHA LAKAY EDISONCredential: MD
Location Address7583 WALL TRIANA HWYMadison, AL 35757-8327
Mailing AddressPo Box 303Gadsden, AL 35902-0303 · (256) 547-6119 · Fax (256) 546-2981
Fax(256) 546-2981
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateSeptember 15, 2005
Last NPPES UpdateMay 22, 2008
✔ NPI 1528053519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 00024685
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 00024685 (AL)
7583 WALL TRIANA HWY, Madison, AL 35757

Other Identifiers 6

Medicare UPINE87168
Medicaid051553015AL
Other51537577AL · Blue Cross Blue Shield
Medicare ID-Type Unspecified051553015AL
Other051513810AL · Bcbs
Other51002018AL · Blue Cross Blue Shield

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

Aletha Lakay Edison Md 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 ID8224069257
PECOS Enrollment IDI20050829001022, I20260610003331
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

8

Medicare enrollment records show Aletha Edison reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
7559 HWY 72 W
Madison, AL 35758
  • Reassigned Medicare billing, Alabama enrollment
  • 660 clinicians in this Medicare group
Emergency Medicine
101 SIVLEY RD SW, EM DEPT
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama enrollment
  • 193 clinicians in this Medicare group
Addiction Medicine
1416 6TH AVE SE UNIT D
Decatur, AL 35601
  • Reassigned Medicare billing, Alabama enrollment
  • Medicare enrollment name: Aletha Lakay Edison MD LLC
Urgent Care
457 LOVERS LN
Bowling Green, KY 42103
  • Reassigned Medicare billing, Kentucky enrollment
  • 36 clinicians in this Medicare group
Emergency Medicine
1330 HIGHWAY 231 S
Troy, AL 36081
  • Reassigned Medicare billing, Alabama enrollment
  • 60 clinicians in this Medicare group
Emergency Medicine
1000 SAINT CHRISTOPHER DR
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • 38 clinicians in this Medicare group
Health Service
539 E PRUDHOMME ST
Opelousas, LA 70570
  • Reassigned Medicare billing, Louisiana enrollment
  • 40 clinicians in this Medicare group
Emergency Medicine
5000 AMBASSADOR CAFFERY PKWY BLDG 15
Lafayette, LA 70508
  • Reassigned Medicare billing, Louisiana enrollment
  • 114 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
91 services90 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
86 services86 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
44 services42 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Opelousas General Health System

Acute Care Hospitals · Opelousas, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number190017
Location539 East Prudhomme StreetOpelousas, LA 70570 · St. Landry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35757 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$85.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Pharmacy
7583 WALL TRIANA HWY, SUITE B
MADISON, AL 35757
Family Medicine
7583 WALL TRIANA HWY
MADISON, AL 35757
Pharmacist
7583 WALL TRIANA HWY, SUITE B
MADISON, AL 35757
Pharmacist
7583 WALL TRIANA HWY, SUITE B
MADISON, AL 35757
Family Medicine
7583 WALL TRIANA HWY
MADISON, AL 35757
Pharmacist
7583 WALL TRIANA HWY
MADISON, AL 35757
Clinic/Center
7583 WALL TRIANA HWY
MADISON, AL 35757
Clinic/Center (Primary Care)
7583 WALL TRIANA HWY
MADISON, AL 35757

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 Aletha Edison's NPI number?

The NPI number for Aletha Edison is 1528053519. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Aletha Edison located?

Aletha Edison practices at 7583 Wall Triana Hwy, Madison, AL 35757. The listed phone number is (256) 547-6119.

What is Aletha Edison's specialty?

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

Is Aletha Edison enrolled in Medicare?

Yes. Aletha Edison 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 organizations bill Medicare for Aletha Edison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aletha Edison reassigns Medicare benefits to 8 organizations: American Family Care, LLC (Madison, AL), Emergency Physicians Group (Huntsville, AL), Aletha Lakay Edison M D LLC (Decatur, AL), Bowling Green-Warren County Community Hospital Corporation (Bowling Green, KY), Keystone Medical Services Of Alabama, Inc. (Troy, AL) and 3 more organizations, listed in the Medicare section above. 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 Aletha Edison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aletha Edison accept?

Health plans from Blue Cross and Blue Shield of Alabama, HMO Louisiana and UnitedHealthcare list Aletha Edison 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.

Is Aletha Edison affiliated with any hospitals?

According to CMS data, Aletha Edison is affiliated with Opelousas General Health System.

When was this NPI record last updated?

The NPPES record for Aletha Edison was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.