Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821002502 Individual Practitioner Female Practitioner

Stacy B Booth , PA-C

Physician Assistant - Surgical • Mobile, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacy Booth, PA-C is a certified Physician Assistant - Surgical practicing in Mobile, AL. With approximately 28 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 1998, Stacy Booth delivers high-quality medical care to the local community at 5 MOBILE INFIRMARY CIR.

Stacy Booth is affiliated with Kaiser Foundation Health Plan Of The Northwest and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

5 Mobile Infirmary Cir

Mobile, AL 366073513

Telephone 2514352646
Fax 2514356478
Associated Practice Facility / Clinic
🏢 Mobile Infirmary Association Facility NPI 1558364802

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Mobile, AL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +9.4 yrs vs City Avg
City Avg: 18.6 Yrs
State Avg: 17.5 Yrs
Regional Practice Density
23 Specialists

Practicing in Mobile, AL (202 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Booth (28 Years) 28 Yrs
Mobile Specialty Average (18.6 Years) 18.6 Yrs

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License AL PA-472

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License AL PA.472

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License AL PA.472

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
113211 (AL)
Medicaid State Provider ID
113209 (AL)
Medicaid State Provider ID
113213 (AL)
Medicaid State Provider ID
113243 (AL)
Commercial Insurance / Payer ID Bcbs
510-49995 (AL)
Commercial Insurance / Payer ID Bcbs
510-49992 (AL)
Commercial Insurance / Payer ID Bcbs
510-49993 (AL)
Commercial Insurance / Payer ID Bcbs
510-49994 (AL)
Commercial Insurance / Payer ID Tricare South
1821002502 (AL)

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of The Northwest

10100 Se Sunnyside Rd, Clackamas, OR 970158970

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

10180 Se Sunnyside Rd, Clackamas, OR 970158970

Phone: 8008132000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Stacey Mcdonald , CRNP

Nurse Practitioner

NPI 1053667840

Certified Registered Nurse Practitioner

NPI 1063471589

Doctor of Medicine (M.D.)

Dr. George Baxter , MD

Emergency Medicine - Emergency Medical Services

NPI 1104858067

Doctor of Medicine (M.D.)

Dr. Lloyd Manchikes , MD

Emergency Medicine

NPI 1124074661

Doctor of Medicine (M.D.)

Dr. Stephen Andrews , MD

Emergency Medicine

NPI 1457309452

Doctor of Medicine (M.D.)

Angela Cobb , CRNP

Nurse Practitioner

NPI 1487960373

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 03, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2011

Registered at 5 MOBILE INFIRMARY CIR, MOBILE, AL 366073513 (Tel: 2514352646)

📍
Updated Business Mailing Address February 03, 2011

Registered at PO BOX 10583, BIRMINGHAM, AL 352020583

👤
Provider Name / Credentials Updated February 03, 2011

Recorded as STACY BOOTH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2011

Emergency Medicine (License #PA.472 in AL)

🟢
Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821002502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2006
Last Update: February 03, 2011
Sole Proprietor: No

Mailing Address

Po Box 10583

Birmingham, AL 352020583

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.