Individual provider Active NPI

Thomas Edison Skinner III, MSN, ACNP-BC

  • Acute Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1144620113
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-131236 Issued in AL
Practice address
3680 Grandview Pkwy Ste 200
Birmingham, AL 35243-3411
Phone
(205) 971-7500
Fax
(205) 971-7571
NPI assigned
Aug 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-131236 AL Primary

Addresses

Primary practice location

3680 Grandview Pkwy Ste 200
Birmingham, AL 35243-3411

Mailing address

3680 Grandview Pkwy Ste 200
Birmingham, AL 35243-3411
Phone (205) 971-7500

Other practice location 1

1802 6th Ave S
5240 North Pavilion
Birmingham, AL 35233-1932
Phone (205) 934-4206

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alcv@195.direct.myezaccess.com

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
I20150330001177 AL Practitioner - Nurse Practitioner 6305163460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affinity Cardiovascular Specialists LLCGroup PAC ID 1658680434, 44 clinicians

Practice addresses (Care Compare)

1102 Goodyear Ave
Gadsden, AL 35903-2008
Phone (205) 971-7500

3680 Grandview Pkwy
Suite 200
Birmingham, AL 35243-3326

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-1000

7063 Veterans Pkwy
Pell City, AL 35125-5114
Phone (205) 971-0139

Hospital & facility affiliations

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-131236ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Cardiovascular Specialists LLC CurrentSince Jan 6, 2020 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jan 1, 2015 Accepting new patients
Affinity Physician Services LLC PastSince Dec 1, 2023 Accepting new patients

Locations

3686 Grandview Pkwy
Ste 720
Birmingham, AL 35243
Phone (205) 971-3600

3680 Grandview Pkwy
Ste 200
Birmingham, AL 35243
Phone (205) 971-7580

1802 6th Ave S
#5240N
Birmingham, AL 35233
Phone (205) 934-4206

5890 Valley Rd
Ste 105
Birmingham, AL 35235
Phone (205) 971-4515

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

619 19th St S
#5240
Birmingham, AL 35249

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/
  • Direct secure messaging: thomas.skinner.1@9954.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1144620113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 GRANDVIEW PKWY STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433411",
            "telephone_number": "205-971-7500",
            "fax_number": "205-971-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 GRANDVIEW PKWY STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433411",
            "telephone_number": "205-971-7500",
            "fax_number": "205-971-7571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 6th Ave S",
            "address_2": "5240 North Pavilion",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331932",
            "country_code": "US",
            "telephone_number": "205-934-4206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "THOMAS",
        "middle_name": "EDISON",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MSN, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-27",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-131236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alcv@195.direct.myezaccess.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "3686 Grandview Pkwy Ste 720",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352433408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.