KOONCE SURGICAL PC
NPI 1659751915
Specialist in Athens, AL

Q: What is Koonce Surgical PC's NPI number?

The NPI number for Koonce Surgical PC is 1659751915. It was assigned to this organization in the NPPES registry on June 2, 2015.

Q: What is Koonce Surgical PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since June 02, 2015

707 W MARKET ST STE C, ATHENS, AL 35611(256) 216-6500(256) 216-8777 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Koonce Surgical Pc NPPES

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

KOONCE SURGICAL PC (NPI 1659751915) is a healthcare organization registered as a specialist in Athens, Alabama and active in the NPI registry since June 2015. The organization lists Cassidy J Koonce, Physician, as its authorized official.

NPPES Registry Identity

NPI1659751915

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameKOONCE SURGICAL PC

Location Address707 W MARKET ST STE CAthens, AL 35611-2463

Mailing AddressPo Box 630Athens, AL 35612-0630 · (256) 216-6500 · Fax (256) 216-8777

Phone(256) 216-6500

Fax(256) 216-8777

Organization SubpartNo

Authorized OfficialCassidy J KooncePhysician · (256) 216-6500

Enumeration DateJune 2, 2015

Last NPPES UpdateMarch 21, 2025

NPPES CertifiedMarch 21, 2025

✔ NPI 1659751915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AL · MD31380

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

707 W MARKET ST STE C, Athens, AL 35611

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Other Identifiers 1

Other1376854976AL · Npi

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Koonce Surgical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Koonce Surgical PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Cassidy Koonce, M.D.

General Surgery

NPI 1376854976

707 W MARKET ST STE C
Athens, AL 35611

(256) 216-6500

✔ PECOS✔ Accepts MedicareSame address

Lori Henry, NP

Nurse Practitioner

NPI 1255754321

220 CEDAR ST NW
Hartselle, AL 35640

(256) 773-2260

✔ PECOS✔ Accepts Medicare25 mi

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

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 Koonce Surgical PC's NPI number?

The NPI number for Koonce Surgical PC is 1659751915. It was assigned to this organization in the NPPES registry on June 2, 2015.

Where is Koonce Surgical PC located?

Koonce Surgical PC is located at 707 W Market St Ste C, Athens, AL 35611. The listed phone number is (256) 216-6500.

What is Koonce Surgical PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Koonce Surgical PC enrolled in Medicare?

Yes. Koonce Surgical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Koonce Surgical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Koonce Surgical PC, in General Surgery and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Koonce Surgical PC accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Koonce Surgical PC 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 Koonce Surgical PC was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.