Individual provider Active NPI

Savanah Booker, PA-C

  • Physician Assistant
  • Huntsville, AL
National Provider Identifier
1083395297
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2599 Issued in AL
Practice address
115 Saint Clair Ave SE
Huntsville, AL 35801-4344
Phone
(256) 519-3650
NPI assigned
Jul 31, 2023
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2599 AL Primary
Physician Assistant 363A00000X 338136 LA

Addresses

Primary practice location

115 Saint Clair Ave SE
Huntsville, AL 35801-4344

Mailing address

134 Joe Phillips Rd
Madison, AL 35758-9776
Phone (256) 337-5370

Other practice location 1

813 Franklin St SE
Huntsville, AL 35801-4311
Phone (256) 519-3650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20230915002515 LA Practitioner - Physician Assistant 9537523071 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2599ALMDGerontology Occupational Therapist
338136LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DM Properties of Lafayette, LLC CurrentSince Aug 7, 2023 Accepting new patients
Natchitoches Parkway Imaging, LLC PastSince Oct 15, 2023 Accepting new patients

Locations

3601 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 787-6877

Interoperability endpoints

  • Direct secure messaging: savanah.booker.1@23004.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1083395297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 JOE PHILLIPS RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589776",
            "telephone_number": "256-337-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SAINT CLAIR AVE SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014344",
            "telephone_number": "256-519-3650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 Franklin St SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014311",
            "country_code": "US",
            "telephone_number": "256-519-3650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "SAVANAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "2599",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "338136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.