Individual provider Active NPI

Matthew Skinner

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Mobile, AL
National Provider Identifier
1033672910
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
51167 Issued in AL
Practice address
1720 Spring Hill Ave Ste 301
Mobile, AL 36604-1409
Phone
(251) 435-2663
Fax
(251) 435-1098
NPI assigned
Apr 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 51167 AL Primary

Addresses

Primary practice location

1720 Spring Hill Ave Ste 301
Mobile, AL 36604-1409

Mailing address

1720 Spring Hill Ave Ste 301
Mobile, AL 36604-1409
Phone (251) 435-2663

Other practice location 1

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, AL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240725001548 CA Practitioner - Orthopedic Surgery 6204372311 Reassigns benefits to 1 organization
I20240802002467 NV Practitioner - Orthopedic Surgery 6204372311 Reassigns benefits to 2 organizations
I20250630003046 AL Practitioner - Orthopedic Surgery 6204372311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1720 Spring Hill Ave
Suite 3
Mobile, AL 36604-1410
Phone (251) 435-2663

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Orthopaedic Alliance, PLLC CurrentSince Jun 18, 2025 Accepting new patients
Tahoe Orthopedics & Sports Medicine, Inc. Sports Medicine CurrentSince Aug 1, 2024 Accepting new patients
Southern Orthopaedic Alliance PLLC Sports Medicine CurrentSince Jun 18, 2025 Accepting new patients
Barton Healthcare System CurrentSince Aug 1, 2024 Accepting new patients
Barton Healthcare System CurrentSince Aug 1, 2024 Accepting new patients
Lake Tahoe Orthopaedic Institute, a Watson-Swanson Professional Corp Sports Medicine CurrentSince Aug 1, 2024 Accepting new patients
Lake Tahoe Orthopaedic Institute a Watson-Swanson Professional Corp CurrentSince Aug 1, 2024 Accepting new patients

Locations

831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949

1720 Spring Hill Ave
Ste 3
Mobile, AL 36604

1720 Spring Hill Ave
Ste 301
Mobile, AL 36604

831 Hillcrest Rd
Ste C
Mobile, AL 36695
Phone (251) 633-4949

75 Shell St
Ste 200
Saraland, AL 36571

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

2170 South Ave
#B
South Lake Tahoe, CA 96150
Phone (530) 539-6620

1139 3rd St
South Lake Tahoe, CA 96150
Phone (530) 541-3100

212 Elks Point Rd
Unit 201
Zephyr Cove, NV 89448
Phone (775) 588-9188

Interoperability endpoints

  • Direct secure messaging: mskinner210601@directinfirmaryhealth.org
  • Direct secure messaging: mskinner327123@direct.sw.org

Organizations & group practices 7

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 1

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1033672910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SPRING HILL AVE STE 301",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041409",
            "telephone_number": "251-435-2663",
            "fax_number": "251-435-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SPRING HILL AVE STE 301",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041409",
            "telephone_number": "251-435-2663",
            "fax_number": "251-435-1098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044917",
            "country_code": "US",
            "telephone_number": "817-702-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AL",
            "license": "51167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.