Individual provider Active NPI

Crystal Hewitt Skinner, MD

  • Family Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1649833906
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.42027 Issued in AL
Practice address
5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698
Phone
(205) 343-2225
Fax
(205) 343-7825
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.42027 AL Primary

Addresses

Primary practice location

5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698

Mailing address

5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698
Phone (205) 343-2225

Other practice location 1

508 Green Street
Greensboro, AL 36744
Phone (334) 624-3024

Other practice location 2

3909 McFarland Blvd
Northport, AL 35476-2838
Phone (205) 333-1993

Other practice location 3

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone (205) 348-1770

Other identifiers 1

IdentifierTypeStateIssuer
1649833906MedicaidAL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220719000039 AL Practitioner - Family Practice 7810323656 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care LLC CurrentSince Oct 30, 2023 Accepting new patients
Hale County Hospital CurrentSince Apr 13, 2022 Accepting new patients
Hale County Hospital CurrentSince Apr 13, 2022 Accepting new patients
Hale County Hospital Past Accepting new patients

Locations

508 Greene St
#2
Greensboro, AL 36744
Phone (334) 624-3024

508 Greene St
Greensboro, AL 36744
Phone (334) 624-3024

508 Greene St
Ste A
Greensboro, AL 36744

40870 AL Highway 69
Ste A
Moundville, AL 35474
Phone (205) 371-4444

19570 Gorgas Rd
Northport, AL 35475
Phone (205) 349-1040

Interoperability endpoints

  • Direct secure messaging: crystal.skinner.1@31138.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCICCA
  • Direct secure messaging: crystal.skinner.1@12717.direct.athenahealth.com

Organizations & group practices 7

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.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Primary Care LLC 3 clinicians
Hale County Hospital 19 clinicians

Practice addresses (Care Compare)

19570 Gorgas Rd
Northport, AL 35475-1912
Phone (205) 737-7567

508 Greene St
Suite 2
Greensboro, AL 36744-2316
Phone (334) 624-3024

Hospital & facility affiliations

  • Hale County Hospital Hospital, Greensboro, AL, CCN 010095
  • Hale County Hospital Nursing home, CCN 01U095

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1649833906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 OSCAR BAXTER DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053698",
            "telephone_number": "205-343-2225",
            "fax_number": "205-343-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 OSCAR BAXTER DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053698",
            "telephone_number": "205-343-2225",
            "fax_number": "205-343-7825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Green Street",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "AL",
            "postal_code": "36744",
            "country_code": "US",
            "telephone_number": "334-624-3024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3909 McFarland Blvd",
            "address_purpose": "LOCATION",
            "city": "Northport",
            "state": "AL",
            "postal_code": "354762838",
            "country_code": "US",
            "telephone_number": "205-333-1993",
            "fax_number": "205-333-0293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Peter Bryce Blvd",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354017457",
            "country_code": "US",
            "telephone_number": "205-348-1770",
            "fax_number": "205-348-1772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "CRYSTAL",
        "middle_name": "HEWITT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.42027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649833906",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.