Individual provider Active NPI

Leah Margaret Guarisco, PA-C

  • Physician Assistant
  • Mountain BRK, AL
National Provider Identifier
1396480141
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1192618 Issued in AL
Practice address
3000 Cahaba Village PLZ
Mountain BRK, AL 35243-5922
Phone
(205) 263-7836
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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 1192618 AL Primary

Addresses

Primary practice location

3000 Cahaba Village PLZ
Mountain BRK, AL 35243-5922

Mailing address

3700 Cahaba Beach Rd
Birmingham, AL 35242-5225
Phone (205) 421-2088

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
I20220609000255 AL Practitioner - Physician Assistant 6709264419 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Alabama Health Services Foundation, PCGroup PAC ID 1951213107, 2,784 clinicians

Practice addresses (Care Compare)

2000 6TH Ave S
Birmingham, AL 35233-2110
Phone (205) 937-9999

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Hospital & facility affiliations

  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1192618ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince May 24, 2022 Accepting new patients
University of Alabama Health Services Foundation, PC CurrentSince Aug 1, 2023 Accepting new patients
American Family Care, LLC CurrentSince May 24, 2022 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Aug 1, 2023 Accepting new patients
American Family Care, LLC Past Accepting new patients
American Family Care, LLC PastSince May 8, 2022 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

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

1201 11th Ave S
Birmingham, AL 35205
Phone (205) 930-7100

2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396

2145 Bonner Way
Birmingham, AL 35243
Phone (205) 978-0250

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

Interoperability endpoints

  • Direct secure messaging: lmguarisco@direct.uabmedicine.org

Organizations & group practices 6

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 2

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": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1396480141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 CAHABA BEACH RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425225",
            "telephone_number": "205-421-2088",
            "fax_number": "205-278-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CAHABA VILLAGE PLZ",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352435922",
            "telephone_number": "205-263-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARISCO",
        "first_name": "LEAH",
        "middle_name": "MARGARET",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1192618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

Verify at the official NPI Registry.