Individual provider Active NPI

Allison Pauly, PA-C

  • Medical Physician Assistant
  • Huntsville, AL
National Provider Identifier
1891161196
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1394 Issued in AL
Practice address
2314 Pansy St SW
Huntsville, AL 35801-3803
Phone
(256) 973-1507
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.004171 OH
Medical Physician Assistant 363AM0700X 1394 AL Primary

Addresses

Primary practice location

2314 Pansy St SW
Huntsville, AL 35801-3803

Mailing address

2314 Pansy St SW
Huntsville, AL 35801-3803
Phone (256) 973-1507

Other practice location 1

910 Boardman Canfield Rd
Boardman, OH 44512-4218
Phone (330) 965-0075

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
I20221019001374 AL Practitioner - Physician Assistant 1254612377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livinghealthymd PCGroup PAC ID 1658775226, 9 clinicians

Practice addresses (Care Compare)

2314 Pansy St SW
Huntsville, AL 35801-3803

460 Lanier Rd
Suite 100
Madison, AL 35758-2632
Phone (256) 319-9000

Hospital & facility affiliations

National Provider Directory

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

Organizations & group practices 1

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.

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": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1891161196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 PANSY ST SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013803",
            "telephone_number": "256-973-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 PANSY ST SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013803",
            "telephone_number": "256-973-1507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Boardman Canfield Rd",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445124218",
            "country_code": "US",
            "telephone_number": "330-965-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULY",
        "first_name": "ALLISON",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.004171",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "1394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.