Healthcare Provider Details

I. General information

NPI: 1861255259
Provider Name (Legal Business Name): ANNA KATHERINE MCGIMSEY PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2024
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SIVLEY RD SW
HUNTSVILLE AL
35801-4421
US

IV. Provider business mailing address

PO BOX 4005
HUNTSVILLE AL
35815-4005
US

V. Phone/Fax

Practice location:
  • Phone: 256-536-5594
  • Fax: 256-533-3379
Mailing address:
  • Phone: 256-536-5594
  • Fax: 256-533-3379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.2605
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: