Individual provider Active NPI

Catherine Francesca Gillespie, PA-C

  • Physician Assistant
  • Birmingham, AL
National Provider Identifier
1013575943
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1479 Issued in AL
Practice address
1927 1St Ave N Ste 200
Birmingham, AL 35203-4050
Phone
(059) 330-9872
Fax
(205) 930-1758
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1479 AL Primary

Addresses

Primary practice location

1927 1St Ave N Ste 200
Birmingham, AL 35203-4050

Mailing address

4721 Chace Cir
Hoover, AL 35244-3700
Phone (205) 823-0151

Other names 1

  • Catherine Francesca Harris 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190719002755 AL Practitioner - Physician Assistant 2163758723 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1479ALMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Diagnostics Group, PC Past Accepting new patients
Olive Branch Dermatology LLC PastSince Dec 1, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1013575943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 CHACE CIR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443700",
            "telephone_number": "205-823-0151",
            "fax_number": "205-823-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 1ST AVE N STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352034050",
            "telephone_number": "059-330-9872",
            "fax_number": "205-930-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "CATHERINE",
        "middle_name": "FRANCESCA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "HARRIS",
            "middle_name": "FRANCESCA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.