Individual provider Active NPI

Payton Patel, PA-C

  • Physician Assistant
  • Vestavia Hills, AL
National Provider Identifier
1114629136
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2122 Issued in AL
Practice address
1360 Montgomery Hwy Ste 114
Vestavia Hills, AL 35216-2750
Phone
(205) 379-0900
Fax
(205) 238-7900
NPI assigned
Mar 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 2122 AL Primary

Addresses

Primary practice location

1360 Montgomery Hwy Ste 114
Vestavia Hills, AL 35216-2750

Mailing address

1360 Montgomery Hwy Ste 114
Vestavia Hills, AL 35216-2750
Phone (205) 379-0900

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
I20230613001276 AL Practitioner - Physician Assistant 3476910019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Skin Cancer and Aesthetic Center LLCGroup PAC ID 1153850607, 4 clinicians
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

1360 Montgomery Hwy
Suite 114
Vestavia Hills, AL 35216-2750
Phone (205) 379-0900

1652 Montclair Rd
Irondale, AL 35210-2410
Phone (205) 956-9192

20 Hazelwood Dr
Pell City, AL 35125-3382
Phone (205) 338-8008

8151 Whitesburg Dr SE
Huntsville, AL 35802-4557
Phone (256) 882-9711

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2122ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince May 1, 2023 Accepting new patients
Cutaneous Oncology & Surgery Center, LLC Past Accepting new patients

Locations

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1114629136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 MONTGOMERY HWY STE 114",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162750",
            "telephone_number": "205-379-0900",
            "fax_number": "205-238-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 MONTGOMERY HWY STE 114",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162750",
            "telephone_number": "205-379-0900",
            "fax_number": "205-238-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PAYTON",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "2122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

Verify at the official NPI Registry.