Organization Active NPI

Lifestyle Management of Birmingham, Inc

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1003004284
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8362 Issued in AL
Legal business name
LIFESTYLE MANAGEMENT OF BIRMINGHAM, INC
Practice address
10 Old Montgomery Hwy
Suite 100
Birmingham, AL 35209-6737
Phone
(205) 949-1900
Fax
(205) 949-1919
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Brittany D Limbaugh, RN,BSN
Title
Practice Manager
Phone
(205) 949-1912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 8362 AL Primary

Addresses

Primary practice location

10 Old Montgomery Hwy
Suite 100
Birmingham, AL 35209-6737

Mailing address

10 Old Montgomery Hwy
Suite 100
Birmingham, AL 35209-6737
Phone (205) 949-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110810000555 AL Part B Supplier - Clinic/Group Practice 3274702170 Receives reassigned benefits from 3 practitioners
Practice locations: Birmingham, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1072316Lifestyle Management of Birmingham Inc10 Old Montgomery Highway Suite 100, Birmingham, AL 35209Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Locations

10 Old Montgomery Hwy
Ste 100
Homewood, AL 35209
Phone (205) 949-1900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1003004284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OLD MONTGOMERY HWY",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096737",
            "telephone_number": "205-949-1900",
            "fax_number": "205-949-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OLD MONTGOMERY HWY",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096737",
            "telephone_number": "205-949-1900",
            "fax_number": "205-949-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE MANAGEMENT OF BIRMINGHAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "LIMBAUGH",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "205-949-1912",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "8362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.