Individual provider Active NPI

Lily Grace Henley

  • Physician Assistant
  • Homewood, AL
National Provider Identifier
1386516334
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2646 Issued in AL
Practice address
3485 Independence Dr
Homewood, AL 35209-5603
Phone
(205) 930-0920
Fax
(205) 444-0115
NPI assigned
Sep 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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 2646 AL Primary

Addresses

Primary practice location

3485 Independence Dr
Homewood, AL 35209-5603

Mailing address

3485 Independence Dr
Homewood, AL 35209-5603
Phone (205) 930-0920

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
I20251028004319 AL Practitioner - Physician Assistant 4284123480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Centers of Alabama, PCGroup PAC ID 0941264345, 60 clinicians

Practice addresses (Care Compare)

3485 Independence Dr
Homewood, AL 35209-5603
Phone (205) 930-0920

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2646ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Centers of Alabama PC CurrentSince Oct 7, 2025 Accepting new patients
Urology Centers of Alabama PC CurrentSince Oct 7, 2025 Accepting new patients

Locations

975 9th Ave SW
Ste 205
Bessemer, AL 35022

985 9th Ave SW
Ste 408
Bessemer, AL 35022
Phone (205) 481-7680

3489 Independence Dr
Birmingham, AL 35209

3485 Independence Dr
Homewood, AL 35209

Organizations & group practices 2

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": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1386516334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 INDEPENDENCE DR",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095603",
            "telephone_number": "205-930-0920",
            "fax_number": "205-444-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 INDEPENDENCE DR",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095603",
            "telephone_number": "205-930-0920",
            "fax_number": "205-444-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENLEY",
        "first_name": "LILY",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "2646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.