NPIMap

Organization Active NPI

West Alabama AIDS Outreach

  • General Practice Physician
  • Tuscaloosa, AL
National Provider Identifier
1033637434
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WEST ALABAMA AIDS OUTREACH
Practice address
2720 6TH St
Tuscaloosa, AL 35401
Phone
(205) 759-8470
Fax
(205) 366-9001
NPI assigned
Sep 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Billy Daniel Kirkpatrick, PH.D.
Title
Executive Director
Phone
(205) 759-8470

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2720 6TH St
Tuscaloosa, AL 35401

Mailing address

2720 6TH St
Tuscaloosa, AL 35401-1731
Phone (205) 759-8470

Other names 1

  • Five Horizons Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180619001477 AL Part B Supplier - Clinic/Group Practice 7517212376 Receives reassigned benefits from 4 practitioners
Practice locations: Tuscaloosa, AL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1865 Honeysuckle Rd
Ste 2
Dothan, AL 36305
Phone 33479388505853

2573 Fairlane Dr
Montgomery, AL 36116
Phone (334) 280-3349

3091 Gaston Ave
Ste B
Montgomery, AL 36105
Phone (334) 262-0331

2573 Fairlane Dr
Bldg 4
Montgomery, AL 36116
Phone (334) 280-3349

1023 Medical Center Pkwy
Ste 308
Selma, AL 36701
Phone (334) 875-4200

1926 23rd Ave
Meridian, MS 39301
Phone (601) 485-1131

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033637434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 6TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011731",
            "telephone_number": "205-759-8470",
            "fax_number": "205-366-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 6TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-759-8470",
            "fax_number": "205-366-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ALABAMA AIDS OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-759-8470",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Horizons Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Five Horizons Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.