CARROLTON MACKENZIE STREET PA
NPI 1386460897
Physician Assistant in Birmingham, AL
About Carrolton Mackenzie Street Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARROLTON MACKENZIE STREET PA (NPI 1386460897) is an individual physician assistant in Birmingham, Alabama, licensed in Alabama (2774) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Carrolton Mackenzie Street Pa 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carrolton Street's NPI number?
The NPI number for Carrolton Street is 1386460897. It was assigned to this individual provider in the NPPES registry on November 29, 2024.
Where is Carrolton Street located?
Carrolton Street practices at 619 19th St S, Birmingham, AL 35233. The listed phone number is (205) 934-4011.
What is Carrolton Street's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Carrolton Street enrolled in Medicare?
Yes. Carrolton Street 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.
When was this NPI record last updated?
The NPPES record for Carrolton Street was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Carrolton Mackenzie Street, PA · NPI 1386460897
Physician Assistant physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since November 29, 2024.
## Identity
- **NPI:** 1386460897 (Entity type: Individual)
- **Enumerated:** November 29, 2024
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 2774 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 619 19TH ST S, Birmingham, AL 35233-1900
- **Phone:** (205) 934-4011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1386460897) · Data from the CMS NPPES public registry.