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LOGAN GILMORE
NPI 1225513401
Nurse Practitioner in Birmingham, AL

Active since October 03, 2018PECOS EnrolledAccepts Medicare Assignment
3686 GRANDVIEW PKWY STE 720, BIRMINGHAM, AL 35243(205) 971-7500 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 14, 2020, Oct 3, 2018 (2 updates tracked since 2018).

About Logan Gilmore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN GILMORE (NPI 1225513401) is an individual nurse practitioner in Birmingham, Alabama, licensed in Alabama (1-117672) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1225513401
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameLOGAN GILMORE
Location Address3686 GRANDVIEW PKWY STE 720Birmingham, AL 35243-3408
Mailing Address700 Broadway StBirmingham, AL 35209-6210
Phone(205) 971-7500
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 3, 2018
Last NPPES UpdateOctober 14, 20202 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
✔ NPI 1225513401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1-117672
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3686 GRANDVIEW PKWY STE 720, Birmingham, AL 35243
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Logan Gilmore is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395082523
PECOS Enrollment IDI20190125003157
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
28 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TANEAKA ANNICE ROWE-HOUSER CRNP
Nurse Practitioner (Adult Health)
3686 GRANDVIEW PKWY STE 720
BIRMINGHAM, AL 35243
Jefferson County (205) 971-7500
LINDSEY PAULINA QUINN APRN, FNP-BC
Nurse Practitioner (Family)
3686 GRANDVIEW PKWY STE 720
BIRMINGHAM, AL 35243
Jefferson County (205) 971-3600
DR. BYRON JUDSON COLLEY III M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
3686 GRANDVIEW PKWY STE 720
BIRMINGHAM, AL 35243
Jefferson County (205) 971-7500
AMY SALMON JAMES CRNP
Nurse Practitioner
3686 GRANDVIEW PKWY STE 720
BIRMINGHAM, AL 35243
Jefferson County (052) 971-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Gilmore's NPI number?

The NPI number for Logan Gilmore is 1225513401. It was assigned to this individual provider in the NPPES registry on October 3, 2018.

Where is Logan Gilmore located?

Logan Gilmore practices at 3686 Grandview Pkwy Ste 720, Birmingham, AL 35243. The listed phone number is (205) 971-7500.

What is Logan Gilmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Logan Gilmore enrolled in Medicare?

Yes. Logan Gilmore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Logan Gilmore accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Logan Gilmore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Logan Gilmore was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.