ELIZABETH HESS PRIDGEN MD
NPI 1528359007
General Practice in Vestavia Hills, AL

NPI Status: Active since May 02, 2011

Contact Information

2015 KENTUCKY AVE
VESTAVIA HILLS, AL
ZIP 35216
Phone: (205) 438-6009
Fax: (833) 799-3664

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  • Individual
  • Female
  • General Practice
  • Accepts Insurance
  • PECOS Enrolled

About ELIZABETH PRIDGEN

This page provides the complete NPI Profile along with additional information for Elizabeth Pridgen, a primary care provider established in Vestavia Hills, Alabama with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1528359007 assigned on May 2011. The practitioner's primary taxonomy code is 208D00000X with license number 32156 (AL). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1528359007
Provider Name
ELIZABETH HESS PRIDGEN MD
Gender
Female
Entity Type
Individual
Location Address
2015 KENTUCKY AVE VESTAVIA HILLS, AL 35216
Location Phone
(205) 438-6009
Location Fax
(833) 799-3664
Mailing Address
2015 KENTUCKY AVE VESTAVIA HILLS, AL 35216
Mailing Phone
(205) 438-6009
Mailing Fax
(833) 799-3664
Is Sole Proprietor?
No
Enumeration Date
05-02-2011
Last Update Date
12-06-2023
Code Navigator

A primary care provider (PCP) like Elizabeth Pridgen sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 1680 Montgomery Hwy
    Birmingham, AL 35216
    (706) 296-3375

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
32156
License State
AL
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Saver Silver EPO - EPO
  • Blue Standardized Silver EPO - EPO
  • Blue Value Gold - PPO
  • Blue Value Silver - PPO
  • Blue Access Gold for Business - PPO
  • Blue Choice Platinum for Business - PPO
  • Blue HSA Silver for Business - PPO
  • Blue Saver Bronze for Business - PPO
  • Blue Saver Gold for Business - PPO
  • Blue Secure Gold for Business - PPO
  • Blue Secure Silver for Business - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Elizabeth Pridgen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528359007
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548651800
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 6 + 5 + 1 + 8 + 0 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1528359007 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528359007, enumerated in the NPI registry as an "individual" on May 02, 2011

The provider is located at 2015 Kentucky Ave Vestavia Hills, Al 35216 and the phone number is (205) 438-6009

The provider's speciality is General Practice with taxonomy code 208D00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on May 02, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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