Individual provider Active NPI

James Francis Fisher III, PA-C

  • Physician Assistant
  • Mobile, AL
National Provider Identifier
1043600356
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1676 Issued in AL
Practice address
1720 Spring Hill Ave Ste 3
Mobile, AL 36604-1410
Phone
(251) 435-2663
Fax
(251) 435-1098
NPI assigned
Jan 26, 2015
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Male
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 1676 AL Primary

Addresses

Primary practice location

1720 Spring Hill Ave Ste 3
Mobile, AL 36604-1410

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
2000007851OtherALBOC LICENSE
1400OtherALALABAMA ATHLETIC TRAINING LICENSE

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
I20200930001428 AL Practitioner - Physician Assistant 2365861093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

341 Greeno Rd N
Fairhope, AL 36532-2979
Phone (251) 928-2401

45 Shell St
Suite 200
Saraland, AL 36571-2202
Phone (251) 435-2663

831 Hillcrest Rd
Mobile, AL 36695-4074
Phone (251) 435-2663

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1676ALMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Orthopaedic Alliance PLLC CurrentSince Apr 1, 2024 Accepting new patients
Imc -Gulf Orthopaedics LLC CurrentSince Jul 12, 2021 Accepting new patients
Southern Orthopaedic Alliance, PLLC CurrentSince Apr 1, 2024 Accepting new patients
Imc -Gulf Orthopaedics LLC CurrentSince Jul 12, 2021 Accepting new patients
Coastal Anesthesia, P.C. Past Accepting new patients

Locations

341 Greeno Rd N
Fairhope, AL 36532
Phone (251) 210-1320

1700 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-6850

1720 Spring Hill Ave
Fl 3
Mobile, AL 36604
Phone 2517763569000

1720 Spring Hill Ave
Ste 3
Mobile, AL 36604

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

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

Interoperability endpoints

  • Direct secure messaging: jfisher92843@directinfirmaryhealth.org

Organizations & group practices 5

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

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": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1043600356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SPRING HILL AVE STE 3",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041410",
            "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 3",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041410",
            "telephone_number": "251-435-2663",
            "fax_number": "251-435-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JAMES",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-26",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC LICENSE",
            "identifier": "2000007851",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA ATHLETIC TRAINING LICENSE",
            "identifier": "1400",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.