Erica Breanne Bortmas-Shammaa, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.42997 Issued in AL

Practice address

300 Greeno Rd S Ste B
Fairhope, AL 36532-1905

Phone

(251) 929-3424

NPI assigned

Sep 5, 2018

Last updated

Aug 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imc-Eastern Shore Adult Medicine, LLCGroup PAC ID 3375718042, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thomas Home Health Home health agency, Fairhope, AL, CCN 017148
• Centerwell Home Health Home health agency, Daphne, AL, CCN 017058
• Amedisys Home Health of Foley Home health agency, Foley, AL, CCN 017069
• Thomas Hospital Hospital, Fairhope, AL, CCN 010100
• Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ebortmasshammaa100213@directinfirmaryhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Imc-Eastern Shore Adult Medicine, LLC

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1912284852
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Home Health of Alabama, LLC

  dba Amedisys Home Health of Foley

  • Home Health Agency
  • Foley, AL
  • NPI 1013975572
  Care Compare affiliation
• Gulf Health Hospitals, Inc

  dba Thomas Hospital

  • General Acute Care Hospital
  • Fairhope, AL
  • NPI 1447303227
  Care Compare affiliation
• Mid-South Home Health, LLC

  dba Centerwell Home Health

  • Home Health Agency
  • Daphne, AL
  • NPI 1497784326
  Care Compare affiliation
• Mobile Infirmary Association

  dba Mobile Infirmary Medical Center

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802
  Care Compare affiliation
• Thomas Home Health, LLC

  dba Thomas Home Health

  • Home Health Agency
  • Fairhope, AL
  • NPI 1790902435
  Care Compare affiliation

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1871075937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GREENO RD S STE B",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321905",
            "telephone_number": "251-929-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GREENO RD S STE B",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321905",
            "telephone_number": "251-929-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTMAS-SHAMMAA",
        "first_name": "ERICA",
        "middle_name": "BREANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": "L.4814R",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.42997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Alabama, Inc. (FMC Home Therapy Services of Baldwin County)
• Norman Bruce Blaum, DMD
• Blue Ridge Healthcare Montrose Bay LLC
• Matthew D Blum, MD
• Sarah M Bogdanovich
• Lauren Emily Bowling, PT, DPT
• Ellen C. Bowman, CRNA
• Jimmy L Boyd Jr., PA
• Robin Annamarie Boyer, MD
• Nancy Elizabeth Boyett, LCSW

• Family Medicine Physician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.