Individual provider Active NPI

Deborah Kay Winberry, PA

  • Physician Assistant
  • Florence, AL
National Provider Identifier
1124089891
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.373 Issued in AL
Practice address
2908 Mall Rd
Florence, AL 35630-1641
Phone
(256) 767-2702
Fax
(256) 718-6047
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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 PA.373 AL Primary

Addresses

Primary practice location

2908 Mall Rd
Florence, AL 35630-1641

Mailing address

2908 Mall Rd
Florence, AL 35630-1641
Phone (256) 767-2702

Other practice location 1

2129 Helton Dr
Ste A
Florence, AL 35630
Phone (256) 718-3200

Other identifiers 1

IdentifierTypeStateIssuer
PA.373OtherALMEDICAL LICENSE

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
I20050920001138 AL Practitioner - Physician Assistant 8325072200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Plus IncGroup PAC ID 7911924931, 5 clinicians

Practice addresses (Care Compare)

2908 Mall Dr
Florence, AL 35630-1534

2908 Mall Rd
Florence, AL 35630-1534
Phone (256) 767-2702

2908 Mall Rd
Florence, AL 35630-1641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.373ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Alabama Emergency Physicians LLC Past Accepting new patients

Organizations & group practices 2

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1124089891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 MALL RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301641",
            "telephone_number": "256-767-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 MALL RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301641",
            "telephone_number": "256-767-2702",
            "fax_number": "256-718-6047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2129 Helton Dr",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "35630",
            "country_code": "US",
            "telephone_number": "256-718-3200",
            "fax_number": "256-246-3297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINBERRY",
        "first_name": "DEBORAH",
        "middle_name": "KAY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA.373",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.