NPIMap

Individual provider Active NPI

Emily Mullady Southall, PA

  • Physician Assistant
  • Birmingham, AL
National Provider Identifier
1285184234
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.1369 Issued in AL
Practice address
619 19TH St S
Birmingham, AL 35233-1900
Phone
(205) 985-4111
NPI assigned
Oct 13, 2016
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA.1369 AL Primary

Addresses

Primary practice location

619 19TH St S
Birmingham, AL 35233-1900

Mailing address

PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 985-4111

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL none

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180918001355 AL Practitioner - Physician Assistant 0648521443 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orthosports1St PCGroup PAC ID 8729402037, 16 clinicians
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Practice addresses (Care Compare)

1031 Brocks Gap Pkwy
Suite 185
Hoover, AL 35244-4078
Phone (205) 352-2911

4517 Southlake Pkwy
Hoover, AL 35244-3280
Phone (205) 985-4111

604 Stone Ave
Talladega, AL 35160-2217
Phone (256) 362-8111

619 19TH St S
Birmingham, AL 35246-0001
Phone (205) 934-3460

831 Hillcrest Rd
Mobile, AL 36695-4074
Phone (251) 435-2663

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1369ALMDFamily Medicine Physician
PA.1369ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southlake Orthopaedics Sports Medicine & Spine Center PC Physician Assistant CurrentSince Jan 1, 2019 Accepting new patients
Southern Orthopaedic Alliance PLLC CurrentSince Aug 1, 2023 Accepting new patients
Orthosports1St PC CurrentSince Jan 29, 2025 Accepting new patients
Southern Orthopaedic Alliance, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Southlake Orthopaedics Sports Medicine and Spine Center, PC CurrentSince Jan 1, 2019 Accepting new patients

Locations

1031 Brocks Gap Pkwy
Ste 185
Hoover, AL 35244
Phone (205) 352-2911

4517 Southlake Pkwy
Hoover, AL 35244
Phone (205) 329-7585

4517 Southlake Pkwy
Ste 202
Hoover, AL 35244
Phone (205) 985-4111

831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1285184234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310",
            "telephone_number": "205-985-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "205-985-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHALL",
        "first_name": "EMILY",
        "middle_name": "MULLADY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "none",
            "affiliation": "N",
            "address_1": "4517 Southlake Pkwy",
            "city": "Hoover",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352443280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.