Individual provider Active NPI

Skye Fost Gratton, P.A.

  • Physician Assistant
  • Birmingham, AL
National Provider Identifier
1114165370
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1680 Issued in AL
Practice address
1200 Corporate Dr Ste 105
Birmingham, AL 35242-2942
Phone
(205) 995-7980
NPI assigned
Jan 27, 2009
Last updated
Jun 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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 1680 AL Primary

Addresses

Primary practice location

1200 Corporate Dr Ste 105
Birmingham, AL 35242-2942

Mailing address

1230 Boundary St
Birmingham, AL 35242-4268
Phone (865) 660-7593

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
I20090603000170 AL Practitioner - Physician Assistant 0244380814 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1680ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Emergency Physicians LLC CurrentSince May 1, 2009 Accepting new patients
Alteon Health Alabama, LLC CurrentSince Jun 21, 2010 Accepting new patients
Southern Medical Group, Inc Past Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

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": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1114165370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 BOUNDARY ST",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424268",
            "telephone_number": "865-660-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422942",
            "telephone_number": "205-995-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATTON",
        "first_name": "SKYE",
        "middle_name": "FOST",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.