Organization Active NPI

Skyway Development LLC

  • Dermatopathology (Pathology) Physician
  • Birmingham, AL
National Provider Identifier
1205623113
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
Legal business name
SKYWAY DEVELOPMENT LLC
Practice address
2021 Morris Ave Ste 300
Birmingham, AL 35203-4184
Phone
(205) 792-0249
NPI assigned
Apr 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Jacob Tubbs
Title
Coo
Phone
(205) 792-0249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZD0900X Primary

Addresses

Primary practice location

2021 Morris Ave Ste 300
Birmingham, AL 35203-4184

Mailing address

2021 Morris Ave Ste 300
Birmingham, AL 35203-4184

National Provider Directory

National Provider Directory

Locations

2021 Morris Ave
Ste 300
Birmingham, AL 35203
Phone (205) 792-0249

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1205623113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 MORRIS AVE STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352034184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MORRIS AVE STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352034184",
            "telephone_number": "205-792-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYWAY DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "TUBBS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "205-792-0249"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.