James Kelley Gunn , PA-C
Physician Assistant โข Mobile, AL
168 Mobile Infirmary Blvd
Mobile, AL 366073510
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on August 17, 2020; this date does not establish years in practice.
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Published CMS data list 713 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 36415 โ Insertion of needle into vein for collection of blood sample: 95 service units.
- 99214 โ Established patient outpatient office visit: 81 service units.
- G2211 โ Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 80 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 14 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,164 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tamsulosin Hcl โ 321 prescription fills, including refills.
- Testosterone Cypionate โ 206 prescription fills, including refills.
- Myrbetriq (Mirabegron) โ 71 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 25 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Mobile, AL (2024, 74 clinicians with data). Median for this group: 214. Middle half: 53 to 424.
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Alabama (2024, 501 clinicians with data). Median for this group: 207. Middle half: 69 to 574.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 52 in 2021 to 713 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2024.
Practice Location & Contact Primary Location
168 Mobile Infirmary Blvd
Mobile, AL 366073510
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Mobile, AL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Urology Associates Of Mobile, P.A.. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of South Alabama College Of Medicine
2021
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
185 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $23,383 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $18,583 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
2,168 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$134,315 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,565.58 across 67 records.
By nature of payment
- Food and Beverage: $1,565.58 across 67 records.
Reporting-company totals (3 largest of 15)
- Janssen Pharmaceuticals, Inc: $586.04 across 18 records.
- Sumitomo Pharma America, Inc.: $180.78 across 12 records.
- Endo USA, Inc.: $114.56 across 5 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
5 years (graduated 2021)
CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2020
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
James Gunn has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists James Gunn as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Mobile and Alabama
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Mobile, AL (2024, 74 clinicians with data). Median for this group: 214. Middle half: 53 to 424.
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Alabama (2024, 501 clinicians with data). Median for this group: 207. Middle half: 69 to 574.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Mobile, AL (2024, 74 clinicians with data). Median for this group: $15,428. Middle half: $3,567 to $31,074.
A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Alabama (2024, 501 clinicians with data). Median for this group: $14,016. Middle half: $5,501 to $33,659.
Paid by Medicare
A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Mobile, AL (2024, 74 clinicians with data). Median for this group: $11,230. Middle half: $2,770 to $23,320.
A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Alabama (2024, 501 clinicians with data). Median for this group: $10,803. Middle half: $4,174 to $24,660.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Mobile, AL (2024, 78 clinicians with data). Median for this group: 239. Middle half: 73 to 696.
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Alabama (2024, 480 clinicians with data). Median for this group: 213. Middle half: 61 to 695.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in Mobile, AL (2024, 78 clinicians with data). Median for this group: $8,193. Middle half: $921 to $124,190.
A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Alabama (2024, 480 clinicians with data). Median for this group: $3,629. Middle half: $562 to $80,038.
186 active clinicians are listed under Physician Assistant with a practice address in Mobile, AL (1,148 in Alabama).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Mobile
2.7% of these 186 clinicians have the CMS telehealth indicator.
62.9% of these 186 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 1271% from 52 in 2021 to 713 in 2024.
- 2021: 52
- 2022: 28,201
- 2023: 10,809
- 2024: 713
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Medicare-allowed amount
Medicare-allowed amount increased 664% from $3,059 in 2021 to $23,383 in 2024.
- 2021: $3,059
- 2022: $81,468
- 2023: $55,576
- 2024: $23,383
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Paid by Medicare
Paid by Medicare increased 673% from $2,405 in 2021 to $18,583 in 2024.
- 2021: $2,405
- 2022: $61,000
- 2023: $41,180
- 2024: $18,583
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 20% from 969 in 2022 to 1,164 in 2024.
- 2022: 969
- 2023: 1,276
- 2024: 1,164
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30-day fills
30-day fills increased 48% from 1,462 in 2022 to 2,168 in 2024.
- 2022: 1,462
- 2023: 2,304
- 2024: 2,168
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Part D drug cost
Part D drug cost increased 73% from $77,681 in 2022 to $134,315 in 2024.
- 2022: $77,681
- 2023: $117,521
- 2024: $134,315
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $341.75 in 2021 to $1,565.58 in 2025.
- 2021: $341.75
- 2022: $3,348.62
- 2023: $3,174.90
- 2024: $1,452.44
- 2025: $1,565.58
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 67 records totaling $1,565.58.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
RYBREVANT | General | $147.63 |
| Procept Biorobotics Corporation |
Food and Beverage
In-kind items and services
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AQUABEAM ROBOTIC SYSTEM | General | $60.76 |
| Insulet Corporation |
Food and Beverage
Cash or cash equivalent
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Omnipod | General | $42.61 |
| Dendreon Pharmaceuticals LLC |
Food and Beverage
In-kind items and services
|
PROVENGE | General | $34.85 |
| Dendreon Pharmaceuticals LLC |
Food and Beverage
In-kind items and services
|
PROVENGE | General | $34.44 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $31.08 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $31.02 |
| Endo USA, Inc. |
Food and Beverage
In-kind items and services
|
XIAFLEX | General | $29.81 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $29.29 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $29.29 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $29.29 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $29.16 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $28.54 |
| IMMUNITYBIO, INC. |
Food and Beverage
In-kind items and services
|
ANKTIVA | General | $27.61 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $27.19 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $26.33 |
| Calyxo, Inc. |
Food and Beverage
In-kind items and services
|
CVAC ASPIRATION SYSTEM | General | $26.27 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $26.14 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $25.27 |
| Endo USA, Inc. |
Food and Beverage
In-kind items and services
|
AVEED | General | $24.54 |
| UROGEN PHARMA, INC. |
Food and Beverage
In-kind items and services
|
โ | General | $24.33 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $23.73 |
| Endo USA, Inc. |
Food and Beverage
In-kind items and services
|
AVEED | General | $23.49 |
| UROGEN PHARMA, INC. |
Food and Beverage
In-kind items and services
|
โ | General | $22.97 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $21.95 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2021โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
36415
Insertion of needle into vein for collection of blood sample
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95 | 78 | $16.95 | $8.65 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
81 | 67 | $152.69 | $89.06 |
|
G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
80 | 67 | $24.00 | $12.83 |
|
84153
Psa (prostate specific antigen) measurement, total
|
78 | 68 | $38.38 | $17.58 |
|
81002
Urinalysis, manual test
|
77 | 64 | $9.70 | $3.15 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
65 | 52 | $206.23 | $125.52 |
|
85014
Red blood cell concentration measurement
|
54 | 42 | $7.00 | $2.28 |
|
85018
Blood count, hemoglobin
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54 | 42 | $7.00 | $2.28 |
|
82670
Measurement of total estradiol (hormone)
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34 | 27 | $46.18 | $26.20 |
|
84154
Psa (prostate specific antigen) measurement, free
|
28 | 27 | $39.00 | $17.55 |
|
81000
Manual urinalysis test with examination using microscope, non-automated
|
22 | 18 | $17.64 | $3.94 |
|
84403
Testosterone (hormone) level, total
|
21 | 20 | $42.29 | $25.29 |
|
54235
Injection procedure to cause erection
|
13 | 13 | $155.00 | $68.53 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
11 | 11 | $232.00 | $128.33 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 321 | 23,557 | $4,540.79 | 161 |
| Testosterone Cypionate | Testosterone Cypionate | 206 | 7,556 | $7,089.86 | 96 |
| Myrbetriq | Mirabegron | 71 | 2,955 | $44,815.09 | 27 |
| Finasteride | Finasteride | 63 | 5,329 | $883.13 | 31 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 59 | 3,964 | $1,718.56 | 25 |
| Gemtesa | Vibegron | 53 | 2,850 | $44,181.68 | 24 |
| Anastrozole | Anastrozole | 48 | 3,964 | $243.58 | 31 |
| Cefdinir | Cefdinir | 31 | 292 | $563.61 | 25 |
| Sildenafil Citrate | Sildenafil Citrate | 30 | 1,173 | $337.64 | 16 |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 27 | 1,035 | $3,670.89 | โ |
| Cabergoline | Cabergoline | 24 | 1,497 | $3,018.26 | 16 |
| Terbutaline Sulfate | Terbutaline Sulfate | 22 | 343 | $1,820.79 | 14 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 21 | 1,195 | $562.92 | 11 |
| Meloxicam | Meloxicam | 20 | 383 | $50.17 | 14 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 20 | 246 | $209.52 | 14 |
| Trospium Chloride | Trospium Chloride | 20 | 1,050 | $1,787.45 | 11 |
| Testosterone | Testosterone | 20 | 600 | $3,793.36 | 11 |
| Xyosted | Testosterone Enanthate | 17 | 476 | $10,131.48 | โ |
| Duloxetine Hcl | Duloxetine Hcl | 16 | 890 | $723.76 | โ |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 15 | 148 | $343.41 | 13 |
| Silodosin | Silodosin | 13 | 630 | $511.87 | โ |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 12 | 217 | $90.50 | โ |
| Pentoxifylline | Pentoxifylline | 12 | 450 | $259.47 | โ |
| Methenamine Hippurate | Methenamine Hippurate | 12 | 720 | $1,361.91 | โ |
| Tadalafil | Tadalafil | 11 | 750 | $1,605.61 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-10-15NUCC Taxonomy Code: 363A00000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20211022002178
AL
9638567795
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Urology Associates Of Mobile, P.a.
168 Mobile Infirmary Blvd, Mobile, AL 366073510
Phone: 2514331895
Urology Associates Of Mobile, P.a.
100 Memorial Hospital Dr, Mobile, AL 366081128
Phone: 2514331895
Urology Associates Of Mobile, P.a.
134 Hoyle Ave, Fairhope, AL 365323160
Phone: 2514331895
Urology Associates Of Mobile, P.a.
6701 Airport Blvd, Mobile, AL 366083794
Phone: 2514331895
Secondary Practice Locations
6701 Airport Blvd Ste B135
Mobile, AL 366083794
Phone: 2512729915
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Urology
Doctor of Osteopathic Medicine (D.O.)
Radiology - Radiation Oncology
Doctor of Medicine (M.D.)
Obstetrics & Gynecology - Female Pelvic Medicine and Reconstructive Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Urology
Doctor of Medicine (M.D.)
Radiology - Vascular & Interventional Radiology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 168 MOBILE INFIRMARY BLVD, MOBILE, AL 366073510 (Tel: 2514331895)
Registered at 168 MOBILE INFIRMARY BLVD, MOBILE, AL 366073510 (Tel: 2517520091)
Recorded as JAMES GUNN, PA-C
Physician Assistant (license number reported to NPPES: AL 1828)
NPI status registered as active in NPPES database
Registered at 17510 RESMONDO RD, SUMMERDALE, AL 365803803 (Tel: 2517520091)
Registered at 17510 RESMONDO RD, SUMMERDALE, AL 365803803 (Tel: 2517520091)
Recorded as JAMES GUNN
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Mobile
- Makenzie Mcconnell
- Nell Milling
- Hallie Taylor, PA-C
- Julia Jackson, PA-C
- Amy Cooksey, PA-C
- Alexandra Mattox, PA-C
Mailing Address
168 Mobile Infirmary Blvd
Mobile, AL 366073510
Phone: 2517520091