Miranda Hornsby, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-1266 Issued in AL

Practice address

521 Montgomery Hwy Ste 117
Vestavia, AL 35216-1876

Phone

(205) 824-4441

Fax

(205) 822-3978

NPI assigned

Feb 7, 2017

Last updated

Oct 18, 2017By 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 GA, AL2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brookwood Dermatology PCGroup PAC ID 4284523069, 4 clinicians

SSD, LLCGroup PAC ID 2163821448, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• SSD, LLC

  dba Southern Skies Dermatology and Surgery

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1134700131
  Medicare reassignment Care Compare group NPD
• Brookwood Dermatology, PC

  • MOHS-Micrographic Surgery Physician
  • Birmingham, AL
  • NPI 1487663266
  Medicare reassignment Care Compare group
• ENT Associates of Alabama, P.C.

  • Otolaryngology Physician
  • Birmingham, AL
  • NPI 1841301082
  NPD
• Cutaneous Oncology & Surgery Center, LLC

  dba SmoothRock Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Vestavia HLS, AL
  • NPI 1699139915
  NPD (past)
• Rice and Lake Urology LLP

  • Urology Physician
  • Columbus, GA
  • NPI 1609923796
  NPD (past)

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1942748272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 TALBOTTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048744",
            "telephone_number": "706-324-7700",
            "fax_number": "706-596-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MONTGOMERY HWY STE 117",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161876",
            "telephone_number": "205-824-4441",
            "fax_number": "205-822-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNSBY",
        "first_name": "MIRANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "008260",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA-1266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teanna C Holston
• Michael Brandon Hooper
• Hope Counseling LLC
• Amanda Nicole Hopkins, M.D.
• Lindsay Horn, CRNA
• William Chase Horton, DC
• Alicia Howard, RBT
• Kaylyn Howard
• Shaba Howard, M.S., CCC-SLP
• Shane A Howard, PT, DPT

• Medical Physician Assistant in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Medical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.