Provider Demographics
NPI:1124364849
Name:TURNIPSEED, AVERY TRAVIS (PA-C)
Entity Type:Individual
Prefix:
First Name:AVERY
Middle Name:TRAVIS
Last Name:TURNIPSEED
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:AVERY
Other - Middle Name:ELIZABETH
Other - Last Name:TRAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:860 MONTCLAIR RD
Mailing Address - Street 2:SUITE 955
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-1923
Mailing Address - Country:US
Mailing Address - Phone:205-332-3160
Mailing Address - Fax:866-702-0880
Practice Address - Street 1:860 MONTCLAIR RD
Practice Address - Street 2:SUITE 955
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-1923
Practice Address - Country:US
Practice Address - Phone:205-332-3160
Practice Address - Fax:866-702-0880
Is Sole Proprietor?:No
Enumeration Date:2012-12-28
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPA.883363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant