Individual provider Active NPI

Gayl Julie Spence, FNP-BC

  • Pediatric Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1750496428
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-062957 Issued in AL
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

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210210001884 AL Practitioner - Nurse Practitioner 5395150007 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-062957ALMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Urgent Care, LLC CurrentSince Dec 15, 2020 Accepting new patients
Growing Up Pediatrics, P.C. Past Accepting new patients
Purohit Pediatric Clinic, LLC PastSince Sep 1, 2019 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.

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

Verify at the official NPI Registry.