Individual provider Active NPI

Lindsey Page Guill, PA-C

  • Physician Assistant
  • Madison, AL
National Provider Identifier
1639631328
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.1475 Issued in AL
Practice address
104 Spenryn Dr
Madison, AL 35758-1890
Phone
(256) 772-4300
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.1475 AL Primary

Addresses

Primary practice location

104 Spenryn Dr
Madison, AL 35758-1890

Mailing address

104 Spenryn Dr
Madison, AL 35758-1890
Phone (256) 772-4300

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
I20190815002414 AL Practitioner - Physician Assistant 5294062097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Primary Care LLCGroup PAC ID 0042494346, 6 clinicians

Practice addresses (Care Compare)

3776 Sullivan St
Suite D
Madison, AL 35758-2344

3776 Sullivan St D
Madison, AL 35758-2344

400 Sun Temple Dr
Madison, AL 35758-5924
Phone (256) 774-5524

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1475ALMDClinical Psychologist
PA.1475ALMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: lindsey.guill.1@12216.direct.athenahealth.com

Organizations & group practices 1

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1639631328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SPENRYN DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581890",
            "telephone_number": "256-772-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SPENRYN DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581890",
            "telephone_number": "256-772-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILL",
        "first_name": "LINDSEY",
        "middle_name": "PAGE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.