Direct Pay Provider Network LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

DIRECT PAY PROVIDER NETWORK LLC

Practice address

2700 Corporate Dr Ste 200
Birmingham, AL 35242-2733

Phone

(866) 214-5920

Fax

(844) 325-6485

NPI assigned

Apr 17, 2020

Last updated

Apr 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Washam

Title

Provider Network Manager

Phone

(205) 397-3096

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1003436254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381866",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352381866",
            "telephone_number": "866-214-5920",
            "fax_number": "844-325-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CORPORATE DR STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422733",
            "telephone_number": "866-214-5920",
            "fax_number": "844-325-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT PAY PROVIDER NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "WASHAM",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PROVIDER NETWORK MANAGER",
        "authorized_official_telephone_number": "205-397-3096"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Contractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.