Individual provider Active NPI

Kenneth G Varley, M.D.

  • Interventional Pain Medicine Physician
  • Birmingham, AL
National Provider Identifier
1043380900
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
19582 Issued in AL
Practice address
7500 Hugh Daniel Dr Ste 360
Birmingham, AL 35242-7144
Phone
(205) 995-9967
Fax
(205) 995-0635
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 19582 AL Primary

Addresses

Primary practice location

7500 Hugh Daniel Dr Ste 360
Birmingham, AL 35242-7144

Mailing address

7500 Hugh Daniel Dr Ste 360
Birmingham, AL 35242-7144
Phone (205) 995-9967

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
I20130508000582 AL Practitioner - Interventional Pain Management 5890715494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Pain Specialists, P.C.Group PAC ID 9032136429, 2 clinicians

Practice addresses (Care Compare)

7500 Hugh Daniel Dr
Suite 360
Birmingham, AL 35242-7144
Phone (205) 995-9967

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19582ALMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Pain Specialists, P.C. Interventional Pain Medicine CurrentSince Nov 1, 1997 Accepting new patients
Southern Anesthesia Services Current Accepting new patients

Locations

7500 Hugh Daniel Dr
Ste 360
Birmingham, AL 35242
Phone (205) 995-9967

7191 Cahaba Valley Rd
Ste 204
Hoover, AL 35242
Phone (205) 995-9163

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kennethgvarley@spsp-al.direct.office.nextgen.com

Organizations & group practices 2

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1043380900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HUGH DANIEL DR STE 360",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427144",
            "telephone_number": "205-995-9967",
            "fax_number": "205-995-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HUGH DANIEL DR STE 360",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427144",
            "telephone_number": "205-995-9967",
            "fax_number": "205-995-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARLEY",
        "first_name": "KENNETH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AL",
            "license": "19582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.