Individual provider Active NPI

Emily Fallon Humphreys, PA-C

  • Physician Assistant
  • Birmingham, AL
National Provider Identifier
1730712571
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1582 Issued in AL
Practice address
3686 Grandview Pkwy Ste 530
Birmingham, AL 35243-3405
Phone
(205) 591-8260
NPI assigned
Feb 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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 1582 AL Primary

Addresses

Primary practice location

3686 Grandview Pkwy Ste 530
Birmingham, AL 35243-3405

Mailing address

38 W Montcrest Dr
Mountain BRK, AL 35213-3024
Phone (205) 332-5273

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
I20200615001543 AL Practitioner - Physician Assistant 2668894965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Associates of Alabama PCGroup PAC ID 8921025354, 43 clinicians

Practice addresses (Care Compare)

3686 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 933-9277

423 23Rd St N
Pell City, AL 35125-1740
Phone (205) 212-3636

644 2ND St NE
Suite 107
Alabaster, AL 35007-8823
Phone (205) 621-2020

833 Saint Vincents Dr
Suite 402
Birmingham, AL 35205-1613
Phone (205) 212-3540

Suite
402 833 St Vincents Dr
Birmingham, AL 35205-1613

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.23 of 100Reported as group
Quality
90.13
Promoting interoperability
100
Improvement activities
40
Cost
77.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1582ALMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Assoc P.C. Past Accepting new patients
SSD, LLC PastSince Apr 15, 2026 Accepting new patients

Organizations & group practices 3

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": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1730712571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 W MONTCREST DR",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352133024",
            "telephone_number": "205-332-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 530",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433405",
            "telephone_number": "205-591-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "EMILY",
        "middle_name": "FALLON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.