Active NPI
Gayl Julie Spence, FNP-BC
- Pediatric Nurse Practitioner
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1-062957
- Practice address
- 3686 Grandview Pkwy Ste 710
Birmingham, AL 35243-3408 - Phone
- (205) 723-0395
- Fax
- (205) 201-6055
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1-062957 | AL | Primary |
Addresses
Primary practice location
3686 Grandview Pkwy Ste 710
Birmingham, AL 35243-3408
Mailing address
516 Quintard Ave
Anniston, AL 36201-5711
Phone (256) 741-9799
Other practice location 1
516 Quintard Ave
Anniston, AL 36201-5711
Phone (256) 741-9799 ext. 108
Other practice location 2
2468 Moody Pkwy
Moody, AL 35004-3031
Phone (205) 640-1200
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-062957 | AL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Urgent Care, LLC | Current | Accepting new patients | |
| Growing Up Pediatrics, P.C. | Past | Accepting new patients | |
| Purohit Pediatric Clinic, LLC | Past | Accepting new patients |
Locations
500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273
117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273
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.
-
- Urgent Care Clinic/Center
- Birmingham, AL
- NPI 1124541438
-
- Pediatrics Physician
- Birmingham, AL
- NPI 1356456214
-
- Specialist
- Anniston, AL
- NPI 1790971166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1750496428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 QUINTARD AVE",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362015711",
"telephone_number": "256-741-9799",
"fax_number": "256-741-9795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3686 GRANDVIEW PKWY STE 710",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352433408",
"telephone_number": "205-723-0395",
"fax_number": "205-201-6055"
}
],
"practiceLocations": [
{
"address_1": "516 Quintard Ave",
"address_purpose": "LOCATION",
"city": "Anniston",
"state": "AL",
"postal_code": "362015711",
"country_code": "US",
"telephone_number": "256-741-9799 x108",
"fax_number": "256-741-9795",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2468 Moody Pkwy",
"address_purpose": "LOCATION",
"city": "Moody",
"state": "AL",
"postal_code": "350043031",
"country_code": "US",
"telephone_number": "205-640-1200",
"fax_number": "205-640-1005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCE",
"first_name": "GAYL",
"middle_name": "JULIE",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AL",
"license": "1-062957",
"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 Aug 28, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.