Active NPI
Hugh Timothy McConnell, PA-C
- Surgical Physician Assistant
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9103629
- Practice address
- 833 Princeton Ave SW Ste 200a
Birmingham, AL 35211-1321 - Phone
- (205) 684-7079
- NPI assigned
- Sep 29, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9103629 | FL | Primary |
Addresses
Primary practice location
833 Princeton Ave SW Ste 200a
Birmingham, AL 35211-1321
Mailing address
833 Princeton Ave SW
Birmingham, AL 35211-1323
Phone (205) 684-7079
Other practice location 1
1032 Mar Walt Dr Unit 230
Fort Walton Beach, FL 32547-6661
Phone (850) 862-3194
Other practice location 2
10475 Centurion Pkwy N
Suite 201
Jacksonville, FL 32256-5003
Phone (904) 223-3321
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156353062B | Medicaid | GA | |
| P00328040 | Other | MEDICARE RAILROAD | |
| 292402100 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 1St St N
Alabaster, AL 35007-8703
Phone (205) 620-7004
1130 22ND St S
Suite 1000
Birmingham, AL 35205-2881
Phone (205) 518-8849
701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 783-7970
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.07 of 100
- Quality
- 80.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9103629 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Centers LLC | Current | Accepting new patients | |
| Baptist Health Centers, LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1004 1st St N
Ste 270
Alabaster, AL 35007
Phone (205) 620-7523
2018 Brookwood Medical Ctr Dr
Ste 215
Birmingham, AL 35209
Phone (205) 877-2627
833 Princeton Ave SW
Ste 200A
Birmingham, AL 35211
Phone (205) 786-2776
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
Organizations & group practices 3
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.
-
dba Baptist Health Medical Group
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Princeton Hospital
- General Acute Care Hospital
- Birmingham, AL
- NPI 1164876546
-
dba Baptist Health Shelby Hospital
- General Acute Care Hospital
- Alabaster, AL
- NPI 1811341167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1588651277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 PRINCETON AVE SW",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111323",
"telephone_number": "205-684-7079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 PRINCETON AVE SW STE 200A",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111321",
"telephone_number": "205-684-7079"
}
],
"practiceLocations": [
{
"address_1": "1032 Mar Walt Dr Unit 230",
"address_purpose": "LOCATION",
"city": "Fort Walton Beach",
"state": "FL",
"postal_code": "325476661",
"country_code": "US",
"telephone_number": "850-862-3194",
"fax_number": "850-862-4423",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10475 Centurion Pkwy N",
"address_2": "SUITE 201",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322565003",
"country_code": "US",
"telephone_number": "904-223-3321",
"fax_number": "904-223-2169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCONNELL",
"first_name": "HUGH",
"middle_name": "TIMOTHY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9103629",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156353062B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00328040",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292402100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.