Individual provider Active NPI

Katherine Grace Nelson

  • Surgical Physician Assistant
  • Birmingham, AL
National Provider Identifier
1710777693
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.2777 Issued in AL
Practice address
2173 Highland Ave S Apt M314
Birmingham, AL 35205-4081
Phone
(303) 946-5615
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X PA.2777 AL Primary

Addresses

Primary practice location

2173 Highland Ave S Apt M314
Birmingham, AL 35205-4081

Mailing address

2173 Highland Ave S Apt M314
Birmingham, AL 35205-4081

Other practice location 1

513 Brookwood Blvd Ste 101
Homewood, AL 35209-6878
Phone (205) 933-8981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

513 Brookwood Blvd
Suite 101
Homewood, AL 35209-5807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA.2777ALMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1710777693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2173 HIGHLAND AVE S APT M314",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173 HIGHLAND AVE S APT M314",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054081",
            "telephone_number": "303-946-5615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 Brookwood Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "AL",
            "postal_code": "352096878",
            "country_code": "US",
            "telephone_number": "205-933-8981",
            "fax_number": "205-930-0746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KATHERINE",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA.2777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.