Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacy B Booth, PA-C

Individual provider Surgical Physician Assistant · NPI 1821002502

Stacy B Booth, PA-C is a Physician Assistant in Mobile, Alabama. Graduated from University of South Alabama College of Medicine in 1998, 28 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
28
Trained at
University of South Alabama College of Medicine
Licensed in
AL
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone: (251) 435-2646
Fax: (251) 435-6478
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA-472 (AL)
Physician Assistant Taxonomy 363A00000X · Licence PA.472 (AL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence PA.472 (AL)

Record details

NPI number1821002502
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESFebruary 3, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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