Individual provider Active NPI

Holly Jeanette Wimpee Gunn, M.D.

  • Dermatology Physician
  • Hoover, AL
National Provider Identifier
1467655431
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35937 Issued in AL
Practice address
2279 Valleydale Rd Ste 100
Hoover, AL 35244-2111
Phone
(205) 214-7546
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD445320 PA
Dermatology Physician 207N00000X 47508 KY
Dermatology Physician 207N00000X 35937 AL Primary

Addresses

Primary practice location

2279 Valleydale Rd Ste 100
Hoover, AL 35244-2111

Mailing address

2279 Valleydale Rd Ste 100
Hoover, AL 35244-2111
Phone (205) 214-7546

Other practice location 1

1649 McFarland Blvd N Ste 201
Tuscaloosa, AL 35406-2270
Phone (205) 214-7546

Other names 1

  • Holly Jeanette Wimpee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140827001909 KY Practitioner - Dermatology 7113183336 Reassigns benefits to 1 organization
I20170616000856 AL Practitioner - Dermatology 7113183336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Alabama College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32 Church St
Mountain BRK, AL 35213-3702
Phone (205) 415-7536

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions534
Removal or shaving of skin growth1-10
Skin biopsy109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47508KYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc Dermatology CurrentSince Apr 1, 2015 Accepting new patients
HGD, Inc Dermatology CurrentSince Aug 19, 2019 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2017 Accepting new patients
HGD, Inc CurrentSince Mar 28, 2021 Accepting new patients
Summit Medical Group, Inc. CurrentSince Apr 1, 2015 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

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

1700 6th Ave S
Ste 9100
Birmingham, AL 35233
Phone (205) 934-3460

32 Church St
Mountain Brk, AL 35213
Phone (205) 276-0885

391 Rele St
Mountain Brook, AL 35223
Phone (205) 415-7536

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

2300 Chamber Center Dr
Ste 200
Lakeside Park, KY 41017
Phone (859) 212-0039

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

Interoperability endpoints

  • Direct secure messaging: hgunn@directaddress.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1467655431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 VALLEYDALE RD STE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442111",
            "telephone_number": "205-214-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 VALLEYDALE RD STE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442111",
            "telephone_number": "205-214-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1649 McFarland Blvd N Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354062270",
            "country_code": "US",
            "telephone_number": "205-214-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNN",
        "first_name": "HOLLY",
        "middle_name": "JEANETTE WIMPEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD445320",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "47508",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "35937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "WIMPEE",
            "middle_name": "JEANETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.