Individual provider Active NPI

Avery Travis Turnipseed, PA-C

  • Physician Assistant
  • Birmingham, AL
National Provider Identifier
1124364849
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.883 Issued in AL
Practice address
860 Montclair Rd
Suite 955
Birmingham, AL 35213-1923
Phone
(205) 332-3160
Fax
(866) 702-0880
NPI assigned
Dec 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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.883 AL Primary

Addresses

Primary practice location

860 Montclair Rd
Suite 955
Birmingham, AL 35213-1923

Mailing address

860 Montclair Rd
Suite 955
Birmingham, AL 35213-1923
Phone (205) 332-3160

Other names 1

  • Avery Elizabeth Travis Former name

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
I20130724000459 AL Practitioner - Physician Assistant 3577704162 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.883ALMDPhysician Assistant

Organizations & group practices 1

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": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1124364849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 MONTCLAIR RD",
            "address_2": "SUITE 955",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131923",
            "telephone_number": "205-332-3160",
            "fax_number": "866-702-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 MONTCLAIR RD",
            "address_2": "SUITE 955",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131923",
            "telephone_number": "205-332-3160",
            "fax_number": "866-702-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNIPSEED",
        "first_name": "AVERY",
        "middle_name": "TRAVIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVERY",
            "last_name": "TRAVIS",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.