Individual provider Active NPI

Hugh Timothy McConnell, PA-C

  • Surgical Physician Assistant
  • Birmingham, AL
National Provider Identifier
1588651277
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9103629 Issued in FL
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

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
156353062BMedicaidGA
P00328040OtherMEDICARE RAILROAD
292402100MedicaidFL

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
I20200408004770 AL Practitioner - Physician Assistant 6709832413 Reassigns benefits to 1 organization

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
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
PA9103629FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers LLC CurrentSince Apr 1, 2020 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.

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": "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

Verify at the official NPI Registry.