William Matthew Fallin, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-527 Issued in AL

Practice address

180 Medical Street
Snead, AL 35952

Phone

(205) 466-7114

Fax

(205) 466-3350

NPI assigned

Jun 27, 2007

Last updated

Sep 22, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agape Medicine LLCGroup PAC ID 3375967938, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prohealth Home Health, LLC Home health agency, Huntsville, AL, CCN 017178
• St Vincents Blount Hospital, Oneonta, AL, CCN 011305
• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Agape Medicine, LLC

  • Family Medicine Physician
  • Snead, AL
  • NPI 1750907507
  Medicare reassignment Care Compare group
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AL

  Medicare reassignment NPD
• Clifton Care Inc

  • Family Medicine Physician
  • Boaz, AL
  • NPI 1972998540
  Medicare reassignment
• St Vincents Blount

  dba St Vincents Blount Physicians

  • Emergency Medicine Physician
  • Oneonta, AL
  • NPI 1952599086
  Medicare reassignment
• St. Vincent's Blount

  • Certified Registered Nurse Anesthetist
  • Oneonta, AL
  • NPI 1235263062
  NPD
• St. Vincent's Blount

  dba Ascension Rx 1401

  • Pharmacy
  • Oneonta, AL
  • NPI 1730704024
  NPD
• Agape Medicine LLC

  • Family Medicine Physician
  • Altoona, AL
  • NPI 1073481123
  NPD (past)
• BHC-Blount & Etowah Counties

  dba BHC-Oneonta

  • Family Medicine Physician
  • Oneonta, AL
  • NPI 1720042963
  NPD (past)
• Boaz Family Medicine, PC

  • Clinic/Center
  • Boaz, AL
  • NPI 1790840775
  NPD (past)
• ENT Associates of Alabama, P.C.

  • Otolaryngology Physician
  • Birmingham, AL
  • NPI 1841301082
  NPD (past)

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

• HH Health System - Marshall LLC

  dba Marshall Medical Center

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation
• Prohealth Home Health, LLC

  dba ProHealth Home Health

  • Home Health Agency
  • Birmingham, AL
  • NPI 1194324624
  Care Compare affiliation
• St Vincents Blount

  • Critical Access Hospital
  • Oneonta, AL
  • NPI 1184967523
  Care Compare affiliation

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1649477407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MEDICAL ST",
            "city": "SNEAD",
            "state": "AL",
            "postal_code": "359526468",
            "telephone_number": "205-466-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MEDICAL STREET",
            "city": "SNEAD",
            "state": "AL",
            "postal_code": "35952",
            "telephone_number": "205-466-7114",
            "fax_number": "205-466-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLIN",
        "first_name": "WILLIAM",
        "middle_name": "MATTHEW",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA-527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agape Medicine, LLC
• BHC-Blount & Etowah Counties (Snead)
• Gana Holdings, LLC (United Doctors Family Medical Center - Snead)
• Mary Katherine Gentry
• William Leonard Gibson, MD
• Impact Therapy, Inc
• John M Gentry (Snead Pharmacy)

• Medical Physician Assistant in Snead, AL
• Providers in Snead, AL by specialty
• Medical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.