Individual provider Active NPI

James Kelley Gunn, PA-C

  • Physician Assistant
  • Mobile, AL
National Provider Identifier
1902417520
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1828 Issued in AL
Practice address
168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone
(251) 433-1895
NPI assigned
Aug 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 1828 AL Primary

Addresses

Primary practice location

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510

Mailing address

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone (251) 752-0091

Other practice location 1

6701 Airport Blvd Ste B135
Mobile, AL 36608-3794
Phone (251) 272-9915

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
I20211022002178 AL Practitioner - Physician Assistant 9638567795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Associates of Mobile, P.a.Group PAC ID 3870497951, 60 clinicians

Practice addresses (Care Compare)

100 Memorial Hospital Dr
Suite 1a
Mobile, AL 36608-1128
Phone (251) 433-1895

134 Hoyle Ave
Fairhope, AL 36532-3160
Phone (251) 433-1895

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone (251) 433-1895

6701 Airport Blvd
Suite B135
Mobile, AL 36608-3794
Phone (251) 433-1895

Hospital & facility affiliations

  • Springhill Medical Center Hospital, Mobile, AL, CCN 010144
  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090
  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113

Merit-based Incentive Payment System (MIPS)

Final score
86.88 of 100Reported as group
Quality
77.29
Promoting interoperability
100
Improvement activities
40
Cost
78.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1828ALMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: jamesgunn@uam.allscriptsdirect.net

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 3

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1902417520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073510",
            "telephone_number": "251-752-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073510",
            "telephone_number": "251-433-1895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 Airport Blvd Ste B135",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083794",
            "country_code": "US",
            "telephone_number": "251-272-9915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNN",
        "first_name": "JAMES",
        "middle_name": "KELLEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-17",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.