Active NPI
Shawntroy Tremayne Hill, PHYSICIAN ASSISTANT
- Physician Assistant
- Fort Rucker, AL
National Provider Identifier
1457595910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 301 Andrews Ave
Fort Rucker, AL 36362-5333 - Phone
- (800) 261-7193
- NPI assigned
- Apr 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1086049 | MO | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
301 Andrews Ave
Fort Rucker, AL 36362-5333
Mailing address
301 Andrews Ave
Fort Rucker, AL 36362-5333
Phone (800) 261-7193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1086049 | MO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1457595910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 ANDREWS AVE",
"city": "FORT RUCKER",
"state": "AL",
"postal_code": "363625333",
"telephone_number": "800-261-7193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 ANDREWS AVE",
"city": "FORT RUCKER",
"state": "AL",
"postal_code": "363625333",
"telephone_number": "800-261-7193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "SHAWNTROY",
"middle_name": "TREMAYNE",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-28",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "1086049",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Rucker, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.