Iris Daniella Stuart, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.410 Issued in AL

Practice address

4517 Southlake Pkwy
Hoover, AL 35244-3280

Phone

(205) 985-4111

Fax

(205) 985-4326

NPI assigned

Aug 16, 2006

Last updated

May 9, 2023By the provider in NPPES

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

Other identifiers 2

Other names 1

• Iris Bethancourt Other name

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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Orthopaedic Alliance PLLCGroup PAC ID 2365800604, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Southern Orthopaedic Alliance, PLLC

  • Orthopaedic Surgery Physician
  • Mobile, AL
  • NPI 1588364228
  Medicare reassignment Care Compare group NPD
• Southlake Orthopaedics Sports Medicine & Spine Center PC

  dba Southlake Orthopaedics

  • Orthopaedic Surgery Physician
  • Birmingham, AL
  • NPI 1043268402

  Physician Assistant

  Medicare reassignment NPD
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• Southern Orthopaedic Alliance PLLC

  • Durable Medical Equipment & Medical Supplies
  • Brewton, AL
  • NPI 1093561896
  NPD
• Southlake Orthopaedics Sports Medicine and Spine Center, PC

  dba Southlake Prosthetics and Orthotics

  • Prosthetic/Orthotic Supplier
  • Hoover, AL
  • NPI 1780281741
  NPD
• Jefferson Clinic, P.C.

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1124086509
  NPD (past)
• Greenwood Surgical Assoc.

  • Surgery Physician
  • Greenwood, SC
  • NPI 1154437515
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Affinity Hospital LLC

  dba Grandview Medical Center

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1023061405
  Care Compare affiliation

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1114030947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uab Dept Of Surgery Division Of Plastic",
            "address_2": "FOT 1150 510 20th Street S.",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352943411",
            "country_code": "US",
            "telephone_number": "205-934-4367",
            "fax_number": "205-975-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUART",
        "first_name": "IRIS",
        "middle_name": "DANIELLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA CERTIFICATION",
            "identifier": "1065741",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA1122",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRIS",
            "last_name": "BETHANCOURT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stratford Enterprises Inc (ExpectCare Hospice)
• Stratus Orthopedic Supply, Inc. (Stratus Wound Care)
• Strickland Counseling, PLLC
• Jill Strickland, LPCA
• Strickly Cute LLC (SC Wigs RX)
• Crystal Harris Stubbs, CRNP
• Alex Sturdivant, PHARM D
• Elizabeth A Sturdivant, LPC, ADC
• STV Sports Medicine & Orthopedics LLC
• STV Sports Medicine & Orthopedics LLC

• Physician Assistant in Hoover, AL
• Providers in Hoover, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.