Katie Jo Harris Roy, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA-1068 Issued in AL

Practice address

4517 Southlake Pkwy
Hoover, AL 35244-3280

Phone

(205) 985-4111

Fax

(205) 985-4326

NPI assigned

Oct 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthosports1St PCGroup PAC ID 8729402037, 16 clinicians

Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Walker Baptist Medical Center Hospital, Jasper, AL, CCN 010089

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Baptist Health Centers, LLC

  dba Baptist Health Medical Group

  • Health Service Clinic/Center
  • Winfield, AL
  • NPI 1265496236
  Medicare reassignment Care Compare group
• Orthosports1St PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hoover, AL
  • NPI 1730701673
  Medicare reassignment Care Compare group
• Southern Orthopaedic Alliance, PLLC

  • Orthopaedic Surgery Physician
  • Mobile, AL
  • NPI 1588364228
  Medicare reassignment NPD
• Southlake Orthopaedics Sports Medicine & Spine Center PC

  dba Southlake Orthopaedics

  • Orthopaedic Surgery Physician
  • Birmingham, AL
  • NPI 1043268402
  Medicare reassignment
• Baptist Health Centers LLC

  dba Baptist Health Medical Group

  • Specialist
  • Talladega, AL
  • NPI 1669436721
  NPD
• Orthosports1St PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Madison, AL
  • NPI 1184438855
  NPD
• Southern Orthopaedic Alliance PLLC

  • Durable Medical Equipment & Medical Supplies
  • Brewton, AL
  • NPI 1093561896
  NPD
• Southlake Orthopaedics Sports Medicine and Spine Center, PC

  dba Southlake Prosthetics and Orthotics

  • Prosthetic/Orthotic Supplier
  • Hoover, AL
  • NPI 1780281741
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• BBH WBMC, LLC

  dba Baptist Health Walker Hospital

  • General Acute Care Hospital
  • Jasper, AL
  • NPI 1932553385
  Care Compare affiliation

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1508236605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "KATIE JO",
        "middle_name": "HARRIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA-1068",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA-1068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Benjamin Rosenthal III, M.D.
• Ross Bridge Family & Cosmetic Dentistry
• Ross Bridge Pharmacy
• Angela Rotter, CRNP
• Graham Hugh Rowland, O.D.
• Royal Extensionz LLC
• Hanna Royer, DPT
• RSW Practices, LLC (Chabot Chiropractic Clinic)
• Jane E Rubino, OD
• Gretchen Marie Rudeseal-Arnold, FNP-C

• Surgical Physician Assistant in Hoover, AL
• Providers in Hoover, AL by specialty
• Surgical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.