DR. LAQUETTA NICOL PETTWAY (MD) – Internal Medicine Physician, NPI 1376588095
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,215 INTERNAL MEDICINE in AL
Provider Addresses for DR. LAQUETTA NICOL PETTWAY (MD)
1360 Montgomery Hwy
Suite 114
Vestavia, AL 352162749
Phone: (205) 978-7550
Fax: (205) 978-7551
Type: Location
PO BOX 746063
ATLANTA, GA 303746063
Phone: (312) 733-9730
Fax: (773) 866-8014
Type: Mailing
601 S HARBOUR ISLAND BLVD STE 200
TAMPA, FL 336025925
Phone: (727) 322-3439
Fax: (800) 928-7449
Type: Mailing
2250 BESSEMER RD STE 200
BIRMINGHAM, AL 352084725
Phone: (205) 382-8265
Fax: (205) 382-8215
Type: Location
1360, Montgomery Highway, Montreat, Vestavia Hills, Jefferson County, Alabama, 35216, United States
SUITE 114
VESTAVIA, AL 352162749
Phone: (205) 978-7550
Fax: (205) 978-7551
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-03-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100319000189 | I | Internal Medicine | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 220 | 21 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 77 | 77 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 73 | 38 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 69 | 64 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 59 | 52 | $0 |
Insurance plans in this area (ZIP 35216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AL | |
| - | AL | |
| - | AL | |
| Nurse Practitioner | AL | |
| Physician Assistant | AL | |
| - | AL | |
| Nurse Practitioner | AL | |
| - | AL |
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