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LACEY GOLDEN PA
NPI 1811290968
Physician Assistant - Surgical in Birmingham, AL

Active since December 13, 2010PECOS Enrolled
48 MEDICAL PARK DR E STE 255, BIRMINGHAM, AL 35235(205) 838-3090(205) 838-3043 Get Directions Write a Review

NPPES record last updated: January 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lacey Golden Pa NPPES

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

LACEY GOLDEN PA (NPI 1811290968) is an individual surgical provider in Birmingham, Alabama, licensed in Alabama (PA.638) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811290968
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLACEY GOLDENCredential: PA
Location Address48 MEDICAL PARK DR E STE 255Birmingham, AL 35235-3464
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701
Phone(205) 838-3090
Fax(205) 838-3043
Sole ProprietorNo
Enumeration DateDecember 13, 2010
Last NPPES UpdateJanuary 21, 2019
✔ NPI 1811290968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AL · PA.638
48 MEDICAL PARK DR E STE 255, Birmingham, AL 35235
Open in Google Maps ↗

Other Identifiers 6

Other051114785AL · Bcbs
Medicaid127143AL
Medicaid127144AL
Medicaid04957385MS
Other051114784AL · Bcbs
Other051114787AL · Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacey Golden Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

ASHTON TAYLOR HOLLINGSWORTH PA
Physician Assistant (Surgical)
48 MEDICAL PARK DR E STE 255
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3090

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 Lacey Golden's NPI number?

The NPI number for Lacey Golden is 1811290968. It was assigned to this individual provider in the NPPES registry on December 13, 2010.

Where is Lacey Golden located?

Lacey Golden practices at 48 Medical Park Dr E Ste 255, Birmingham, AL 35235. The listed phone number is (205) 838-3090.

What is Lacey Golden's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Lacey Golden enrolled in Medicare?

Yes. Lacey Golden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lacey Golden was last updated on January 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.