Individual provider Active NPI

Rachel Tanner Dockery, PA-C

  • Surgical Physician Assistant
  • Vestavia Hills, AL
National Provider Identifier
1932326915
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA656 Issued in AL
Practice address
2020 Canyon Rd Ste 200
Vestavia Hills, AL 35216-1959
Phone
(205) 877-9191
Fax
(205) 877-8377
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.656 AL
Surgical Physician Assistant 363AS0400X
Surgical Physician Assistant 363AS0400X PA656 AL Primary
Athletic Trainer 2255A2300X 926 AL

Addresses

Primary practice location

2020 Canyon Rd Ste 200
Vestavia Hills, AL 35216-1959

Mailing address

2020 Canyon Rd Ste 200
Vestavia Hills, AL 35216-1959
Phone (205) 877-9191

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
I20090622000146 AL Practitioner - Physician Assistant 6103977780 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powell Orthopedics and Sports Medicine, P.C.Group PAC ID 8022207307, 4 clinicians

Practice addresses (Care Compare)

1801 Gadsden Hwy
Birmingham, AL 35235-3134
Phone (205) 838-3900

2020 Canyon Rd
Suite 200
Vestavia Hills, AL 35216-1959
Phone (205) 877-9191

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
926ALMDAthletic Trainer
PA.656ALMDPhysician Assistant
PA656ALMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
STV Sports Medicine & Orthopedics LLC CurrentSince Aug 11, 2016 Accepting new patients

Locations

805 Saint Vincents Dr
Ste 100
Birmingham, AL 35205

7201 Happy Hollow Rd
Ste 202A
Trussville, AL 35173

Organizations & group practices 3

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 1

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1932326915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CANYON RD STE 200",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161959",
            "telephone_number": "205-877-9191",
            "fax_number": "205-877-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CANYON RD STE 200",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161959",
            "telephone_number": "205-877-9191",
            "fax_number": "205-877-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKERY",
        "first_name": "RACHEL",
        "middle_name": "TANNER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.656",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA656",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

Verify at the official NPI Registry.