Quincy Amanda Marlin

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2317

Phone

(205) 491-3299

NPI assigned

Feb 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Rosemore Primary Care & Rehab Services LLC

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1639561244
  Medicare reassignment

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1083207666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 OLD COLUMBIANA RD",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161653",
            "telephone_number": "205-789-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 ALLISON BONNETT MEMORIAL DR",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232317",
            "telephone_number": "205-491-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Oak Mountain Commons Ln",
            "address_purpose": "LOCATION",
            "city": "Pelham",
            "state": "AL",
            "postal_code": "351241484",
            "country_code": "US",
            "telephone_number": "205-216-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARLIN",
        "first_name": "QUINCY",
        "middle_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl M Law, MD
• Billy Wayne Lawley II, PHARM.D.
• Holli Elizabeth Lemons
• Tatyana Moneay Lipscomb
• Anne Irvine Long, OTR
• Emily Maughon, PHARMD
• Elsie Michelle McAlpine, M.ED. LPC
• Pamela McFerrin, LCSW PIP
• Midtown Investments LLC
• Jonathan Mize, MD

• Medical Physician Assistant in Hueytown, AL
• Providers in Hueytown, AL by specialty
• Medical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.