NPIMap

Individual provider Active NPI

Skylar Grayson Saville

  • Family Medicine Physician
  • Daphne, AL
National Provider Identifier
1003349275
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.38004 Issued in AL
Practice address
9570 US Highway 90
Daphne, AL 36526-8945
Phone
(251) 625-8223
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 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
Family Medicine Physician 207Q00000X MD.38004 AL Primary

Addresses

Primary practice location

9570 US Highway 90
Daphne, AL 36526-8945

Mailing address

9570 US Highway 90
Daphne, AL 36526-8945
Phone (251) 625-8223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200721004438 AL Practitioner - Family Practice 1850642968 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Diagnostic and Medical Clinic LLCGroup PAC ID 2860399623, 168 clinicians

Practice addresses (Care Compare)

9570 US Hwy 90 200
Daphne, AL 36526
Phone (251) 625-8223

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.38004ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Diagnostic and Medical Clinic LLC Family Medicine CurrentSince Sep 6, 2021 Accepting new patients
University of South Alabama Health Care Authority CurrentSince Jul 1, 2020 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Jul 1, 2020 Accepting new patients
USA Health Physician Billing Services LLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Sep 6, 2021 Accepting new patients
Gulf Health Hospitals, Inc. PastSince Oct 10, 2021 Accepting new patients

Locations

1601 Center St
#2N
Mobile, AL 36604
Phone (251) 434-3475

75 S University Blvd
Ste 6000A
Mobile, AL 36608
Phone (251) 660-5787

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

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

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

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

Interoperability endpoints

  • Direct secure messaging: ssaville89490@directinfirmaryhealth.org

Organizations & group practices 6

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 6

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1003349275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 US HIGHWAY 90",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365268945",
            "telephone_number": "251-625-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 US HIGHWAY 90",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365268945",
            "telephone_number": "251-625-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVILLE",
        "first_name": "SKYLAR",
        "middle_name": "GRAYSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.38004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.