Individual provider Active NPI

Grace Blane McMahan, PA

  • Medical Physician Assistant
  • Birmingham, AL
National Provider Identifier
1821639154
Registry record updated Aug 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
972 Montclair Rd Ste 100
Birmingham, AL 35213-1203
Phone
(205) 592-4880
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

972 Montclair Rd Ste 100
Birmingham, AL 35213-1203

Mailing address

972 Montclair Rd Ste 100
Birmingham, AL 35213-1203
Phone (205) 592-4880

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmcpherson@ginsburgderm.com

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
I20200221002465 AL Practitioner - Physician Assistant 6103253604 Reassigns benefits to 2 organizations

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
SSD, LLCGroup PAC ID 2163821448, 8 clinicians

Practice addresses (Care Compare)

1400 Hwy Dr
Suite C
Oxford, AL 36203-1951
Phone (205) 900-2000

300 Medical Ctr Dr
Suite 402
Gadsden, AL 35903-1104
Phone (256) 900-2000

423 23Rd St N
Pell City, AL 35125-1740
Phone (205) 900-2000

48 Medical Park Dr E
Suite 458
Birmingham, AL 35235-3473
Phone (205) 900-2000

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Feb 1, 2022 Accepting new patients
Anniston Orthopedics Associates PA Past Accepting new patients
ENT Associates of Alabama, P.C. Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1445
  • Direct secure messaging: grace.mcmahan@forefrontdermatology.emadirect.md

Organizations & group practices 4

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1821639154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 MONTCLAIR RD STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131203",
            "telephone_number": "205-592-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 MONTCLAIR RD STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131203",
            "telephone_number": "205-592-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHAN",
        "first_name": "GRACE",
        "middle_name": "BLANE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmcpherson@ginsburgderm.com",
            "affiliation": "N",
            "address_1": "972 Montclair Rd Ste 100",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352131203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.