Individual provider Active NPI

Justine Elise McGiboney, M.D.

  • Emergency Medicine Physician
  • Birmingham, AL
National Provider Identifier
1871114637
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.45956 Issued in AL
Practice address
1717 6TH Ave S # 44a
Birmingham, AL 35233-1801
Phone
(205) 975-0826
NPI assigned
May 4, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.45956 AL Primary
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X MD.45956 AL

Addresses

Primary practice location

1717 6TH Ave S # 44a
Birmingham, AL 35233-1801

Mailing address

1720 2ND Avenue South SRC-044a
Birmingham, AL 35249-7330
Phone (205) 975-0826

Other names 1

  • Justine Elise Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220916002525 PA Practitioner - Emergency Medicine 8426479437 Reassigns benefits to 1 organization
I20231228002413 AL Practitioner - Emergency Medicine 8426479437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.45956ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC CurrentSince Jul 1, 2024 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Oct 17, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 1, 2022 Accepting new patients
University of Pittsburgh Physicians Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Alabama at Birmingham Past Accepting new patients

Locations

1717 6th Ave S
#44A
Birmingham, AL 35233
Phone (205) 975-0826

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

619 19th St S
Birmingham, AL 35249

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

3600 Forbes Ave
Ste 140
Pittsburgh, PA 15213

Interoperability endpoints

  • Direct secure messaging: jemcgiboney@direct.uabmedicine.org

Organizations & group practices 7

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.

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": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1871114637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 2ND AVENUE SOUTH SRC-044A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352497330",
            "telephone_number": "205-975-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 6TH AVE S # 44A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331801",
            "telephone_number": "205-975-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGIBONEY",
        "first_name": "JUSTINE",
        "middle_name": "ELISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.45956",
            "primary": true
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "AL",
            "license": "MD.45956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINE",
            "last_name": "MILLER",
            "middle_name": "ELISE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.