Individual provider Active NPI

Lucy Johnston Sanders

  • Obstetrics & Gynecology Physician
  • Birmingham, AL
National Provider Identifier
1033563317
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
36550 Issued in AL
Practice address
806 Saint Vincents Dr Ste 500
Birmingham, AL 35205-1616
Phone
(205) 930-1800
NPI assigned
Apr 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 36550 AL Primary

Addresses

Primary practice location

806 Saint Vincents Dr Ste 500
Birmingham, AL 35205-1616

Mailing address

806 Saint Vincents Dr Ste 500
Birmingham, AL 35205-1616
Phone (205) 930-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200521002261 AL Practitioner - Obstetrics/Gynecology 3971899964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henderson and Walton Womens Center PCGroup PAC ID 9133152697, 18 clinicians

Practice addresses (Care Compare)

806 Saint Vincents Dr
Suite 500
Birmingham, AL 35205-1616
Phone (205) 930-1819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36550ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson & Walton Womens Center PC Obstetrics & Gynecology CurrentSince May 1, 2020 Accepting new patients
Brookwood Womens Health PC Obstetrics & Gynecology Past Accepting new patients
St. Vincent'S Birmingham Past Accepting new patients

Locations

806 Saint Vincents Dr
Ste 500
Birmingham, AL 35205
Phone (205) 930-1800

500 Towncenter Blvd
Ste A
Tuscaloosa, AL 35406
Phone (205) 344-5314

500 Towncenter Blvd
Tuscaloosa, AL 35406
Phone (205) 344-5314

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.433

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1033563317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 SAINT VINCENTS DR STE 500",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051616",
            "telephone_number": "205-930-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 SAINT VINCENTS DR STE 500",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051616",
            "telephone_number": "205-930-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "LUCY",
        "middle_name": "JOHNSTON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "36550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.