Individual provider Active NPI

Tiffany Lashay Martin, MD

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1043830805
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
43717 Issued in AL
Practice address
3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone
(205) 971-5745
NPI assigned
Apr 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 43717 AL
Internal Medicine Physician 207R00000X 43717 AL Primary

Addresses

Primary practice location

3690 Grandview Pkwy
Birmingham, AL 35243-3326

Mailing address

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 783-3000

Other practice location 1

5000 Medical West Way
Bessemer, AL 35022-7082
Phone (205) 481-8525

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
I20231213000296 AL Practitioner - Internal Medicine 7719336957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concentric Hospitalist Group PCGroup PAC ID 4082926449, 13 clinicians

Practice addresses (Care Compare)

1000 1St St N
Alabaster, AL 35007-8703
Phone (205) 620-8100

995 9TH Ave SW
Bessemer, AL 35022-4527
Phone (205) 514-1122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43717ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Nov 7, 2023 Accepting new patients
Concentric Hospitalist Group PC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Medical West Hospital Authority, an Affiliate of Uab Health System Past Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

5000 Medical West Way
Bessemer, AL 35022
Phone (205) 481-7312

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1043830805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111303",
            "telephone_number": "205-783-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 GRANDVIEW PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433326",
            "telephone_number": "205-971-5745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Medical West Way",
            "address_purpose": "LOCATION",
            "city": "Bessemer",
            "state": "AL",
            "postal_code": "350227082",
            "country_code": "US",
            "telephone_number": "205-481-8525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TIFFANY",
        "middle_name": "LASHAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "43717",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "43717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.