Active NPI
Sarah Campbell, PA
- Physician Assistant
- Birmingham, AL
National Provider Identifier
1710418751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-1206
- Practice address
- 52 Medical Park Dr E Ste 220
Birmingham, AL 35235-3428 - Phone
- (205) 838-4747
- Fax
- (205) 838-2712
- NPI assigned
- Mar 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-1206 | AL | Primary |
Addresses
Primary practice location
52 Medical Park Dr E Ste 220
Birmingham, AL 35235-3428
Mailing address
1813 6TH Ave S
Birmingham, AL 35233-1920
Other practice location 1
619 19th St S
Birmingham, AL 35249-1900
Phone (205) 934-3411
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-1206 | AL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason D. Cobb, MD, LLC | Past | Accepting new patients |
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.
-
- Orthopaedic Surgery Physician
- Birmingham, AL
- NPI 1639576887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1710418751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 MEDICAL PARK DR E STE 220",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353428",
"telephone_number": "205-838-4747",
"fax_number": "205-838-2712"
}
],
"practiceLocations": [
{
"address_1": "619 19th St S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352491900",
"country_code": "US",
"telephone_number": "205-934-3411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "SARAH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-22",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.