Individual provider Active NPI

Hannah Smith, PA

  • Physician Assistant
  • Mobile, AL
National Provider Identifier
1962155408
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
580 Providence Park Dr E FL 2
Mobile, AL 36695-4614
Phone
(251) 631-3570
Fax
(251) 631-3572
NPI assigned
Feb 3, 2022
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

580 Providence Park Dr E FL 2
Mobile, AL 36695-4614

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 528-1112

Other practice location 2

900 Camp Auburn Rd
Auburn, AL 36832-4672
Phone (334) 364-3000

Other practice location 3

4800 48th St
Valley, AL 36854-3666
Phone (334) 756-9180

Other practice location 4

2305 Hand Ave
Bay Minette, AL 36507-4191
Phone (251) 631-3570

Other practice location 5

8573 County Road 64
Daphne, AL 36526-8706
Phone (251) 621-2244

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Hannah.Smith@forefrontdermatology.emadirect.md Direct
Direct Messaging Address Hannah.Smith@forefrontdermatology.emadirect.md
Direct Messaging Address Hannah.Smith@forefrontdermatology.emadirect.md

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
I20220321000104 AL Practitioner - Physician Assistant 4082009576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

2305 Hand Ave
Bay Minette, AL 36507-4191
Phone (251) 631-3570

580 Providence Park Dr E
Mobile, AL 36695-4614
Phone (251) 631-3570

8573 County Rd
Suite 64
Daphne, AL 36526-8706
Phone (251) 621-2244

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Jun 15, 2023 Accepting new patients
American Family Care, LLC CurrentSince Nov 9, 2022 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Jun 15, 2023 Accepting new patients
American Family Care, LLC CurrentSince Nov 9, 2022 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

2305 Hand Ave
Bay Minette, AL 36507
Phone (251) 435-1364

8573 County Road 64
Daphne, AL 36526
Phone (251) 621-2244

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

580 Providence Park Dr E
Mobile, AL 36695
Phone (251) 631-3570

580 Providence Park Dr E
Fl 2
Mobile, AL 36695
Phone (251) 631-3570

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1962155408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 PROVIDENCE PARK DR E FL 2",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954614",
            "telephone_number": "251-631-3570",
            "fax_number": "251-631-3572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Pepperell Pkwy",
            "address_purpose": "LOCATION",
            "city": "Opelika",
            "state": "AL",
            "postal_code": "368015452",
            "country_code": "US",
            "telephone_number": "334-528-1112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Camp Auburn Rd",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368324672",
            "country_code": "US",
            "telephone_number": "334-364-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 48th St",
            "address_purpose": "LOCATION",
            "city": "Valley",
            "state": "AL",
            "postal_code": "368543666",
            "country_code": "US",
            "telephone_number": "334-756-9180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 Hand Ave",
            "address_purpose": "LOCATION",
            "city": "Bay Minette",
            "state": "AL",
            "postal_code": "365074191",
            "country_code": "US",
            "telephone_number": "251-631-3570",
            "fax_number": "251-631-3572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8573 County Road 64",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365268706",
            "country_code": "US",
            "telephone_number": "251-621-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HANNAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hannah.Smith@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "EMA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "580 Providence Park Dr E Fl 2",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366954614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hannah.Smith@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "EMA",
            "address_1": "8573 County Road 64",
            "city": "Daphne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365268706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hannah.Smith@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "EMA",
            "address_1": "2305 Hand Ave",
            "city": "Bay Minette",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365074191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.