Individual provider Active NPI

Erin Pinkston, PA

  • Physician Assistant
  • Fairhope, AL
National Provider Identifier
1306626064
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2255 Issued in AL
Practice address
341 Greeno Rd N
Fairhope, AL 36532-2979
Phone
(251) 435-2663
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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 2255 AL Primary

Addresses

Primary practice location

341 Greeno Rd N
Fairhope, AL 36532-2979

Mailing address

1720 Spring Hill Ave Ste 3
Mobile, AL 36604-1410

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
I20231207002764 AL Practitioner - Physician Assistant 1658720248 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2255ALMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Imc -Gulf Orthopaedics LLC CurrentSince Nov 7, 2023 Accepting new patients
Southern Orthopaedic Alliance, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Southern Orthopaedic Alliance PLLC CurrentSince Jan 1, 2024 Accepting new patients
Imc -Gulf Orthopaedics LLC CurrentSince Nov 7, 2023 Accepting new patients

Locations

341 Greeno Rd N
Fairhope, AL 36532
Phone (251) 210-1320

1720 Spring Hill Ave
Ste 3
Mobile, AL 36604

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

1720 Spring Hill Ave
Fl 3
Mobile, AL 36604
Phone 2517763569000

Interoperability endpoints

  • Direct secure messaging: epinkston166667@directinfirmaryhealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1306626064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SPRING HILL AVE STE 3",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 GREENO RD N",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322979",
            "telephone_number": "251-435-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKSTON",
        "first_name": "ERIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "2255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.