Individual provider Active NPI

Rachel Fillingim

  • Physician Assistant
  • Mobile, AL
National Provider Identifier
1013699560
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4310 Old Shell Rd Ste D
Mobile, AL 36608-2046
Phone
(251) 343-9100
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 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 AL Primary

Addresses

Primary practice location

4310 Old Shell Rd Ste D
Mobile, AL 36608-2046

Mailing address

4310 Old Shell Rd Ste D
Mobile, AL 36608-2046

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
I20241203003063 AL Practitioner - Physician Assistant 2769917558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Center for Dermatology, P.CGroup PAC ID 6406868546, 5 clinicians

Practice addresses (Care Compare)

4310 Old Shell Rd
Suite D
Mobile, AL 36608-2046
Phone (251) 343-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: rfillingim@cntrforderm.emadirect.md

Organizations & group practices 1

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1013699560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 OLD SHELL RD STE D",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 OLD SHELL RD STE D",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082046",
            "telephone_number": "251-343-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLINGIM",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.