Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Cassidy J Koonce, MD

Individual provider Surgery Physician · NPI 1376854976

Dr. Cassidy J Koonce, MD is a General Surgery in Athens, Alabama. Graduated from University of South Alabama College of Medicine in 2010, 16 years ago. Practices with North Alabama Vascular and Dialysis Access Care LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
16
Trained at
University of South Alabama College of Medicine
Licensed in
AL
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

707 W Market St Ste C
Athens, AL 35611-2463
Phone: (256) 216-6500
Fax: (256) 216-8777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD.31380 (AL)

Record details

NPI number1376854976
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2010
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025
Mailing addressPo Box 630, Athens, AL 35612-0630

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice North Alabama Vascular And Dialysis Access Care Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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