Individual provider Active NPI

Elizabeth Gayle Palmer Hill, DMD

  • Dentist
  • Mobile, AL
National Provider Identifier
1639255128
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5195 Issued in AL
Practice address
6154 Omni Park Drive
Mobile, AL 36609
Phone
(251) 414-5142
Fax
(251) 634-0033
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5195 AL Primary

Addresses

Primary practice location

6154 Omni Park Drive
Mobile, AL 36609

Mailing address

Box 106
2370 Hillcrest Rd Suite G
Mobile, AL 36695-3838
Phone (251) 414-5142

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5195ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Palmer Hill DMD PC Current Accepting new patients
Southern Roots Family and Cosmetic Dentistry PastSince Sep 1, 2024 Accepting new patients

Locations

6154 Omni Park Dr
Mobile, AL 36609
Phone (251) 414-5142

Organizations & group practices 2

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639255128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 106",
            "address_2": "2370 HILLCREST RD SUITE G",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953838",
            "telephone_number": "251-414-5142",
            "fax_number": "251-634-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6154 OMNI PARK DRIVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36609",
            "telephone_number": "251-414-5142",
            "fax_number": "251-634-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER HILL",
        "first_name": "ELIZABETH",
        "middle_name": "GAYLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.