Individual provider Active NPI

Katelyn Braswell Parnell, M.D.

  • Obstetrics & Gynecology Physician
  • Mobile, AL
National Provider Identifier
1003103771
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
32551 Issued in AL
Practice address
3715 Dauphin St, Suite 3-B
Mobile, AL 36608
Phone
(251) 344-5900
Fax
(251) 344-5172
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 32551 AL Primary

Addresses

Primary practice location

3715 Dauphin St, Suite 3-B
Mobile, AL 36608

Mailing address

3715 Dauphin Street, Suite 3-B
Mobile, AL 36608
Phone (251) 344-5900

Other identifiers 1

IdentifierTypeStateIssuer
172884MedicaidAL

Other names 1

  • Katelyn Virginia Braswell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714002086 AL Practitioner - Obstetrics/Gynecology 7911148622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of South Alabama Health Care AuthorityGroup PAC ID 4082986088, 80 clinicians

Practice addresses (Care Compare)

3290 Dauphin St
Mobile, AL 36606-4062
Phone (251) 660-5900

Hospital & facility affiliations

  • USA Health Children'S & Women'S Hospital Hospital, Mobile, AL, CCN 013301
  • Springhill Medical Center Hospital, Mobile, AL, CCN 010144

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (3 of 17)

OrganizationSpecialtyStatusNew patients
Bay Area Physicians for Women PC CurrentSince Aug 1, 2015 Accepting new patients
University of South Alabama Health Care Authority CurrentSince Jul 1, 2022 Accepting new patients
University of South Alabama Past Accepting new patients

Locations

3290 Dauphin St
Mobile, AL 36606
Phone (251) 435-7460

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

3715 Dauphin St
Ste 3B
Mobile, AL 36608
Phone (251) 301-1801

Networks

  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • TN PPO
  • MS PPO C-SNP
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • AL HMO
  • TN PPO C-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • MS PPO D-SNP
  • AL HMO D-SNP
  • FL PPO
  • FL HMO D-SNP
  • MS PPO

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16253/brand/2/csg/1/fhir/r4
  • Direct secure messaging: katelyn.parnell.1@16253.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1003103771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN STREET, SUITE 3-B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-344-5900",
            "fax_number": "251-344-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST, SUITE 3-B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-344-5900",
            "fax_number": "251-344-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARNELL",
        "first_name": "KATELYN",
        "middle_name": "BRASWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "32551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172884",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "BRASWELL",
            "middle_name": "VIRGINIA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.