NPIMap

Organization Active NPI

Grayson Valley Family Health Care LLC

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1053719567
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-137379 Issued in AL
Legal business name
GRAYSON VALLEY FAMILY HEALTH CARE LLC
Practice address
5577 Chalkville Rd
Birmingham, AL 35235-2171
Phone
(205) 853-3533
Fax
(205) 856-3808
NPI assigned
Dec 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Mrs. Stacy Ann Davis, RN
Title
CRNP
Phone
(205) 853-3533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 1-137379 AL Primary

Addresses

Primary practice location

5577 Chalkville Rd
Birmingham, AL 35235-2171

Mailing address

5577 Chalkville Rd
Birmingham, AL 35235-2171
Phone (205) 853-3533

National Provider Directory

National Provider Directory

Locations

5577 Chalkville Rd
Birmingham, AL 35235
Phone (205) 853-3533

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1053719567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5577 CHALKVILLE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352171",
            "telephone_number": "205-853-3533",
            "fax_number": "205-856-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5577 CHALKVILLE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352171",
            "telephone_number": "205-853-3533",
            "fax_number": "205-856-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON VALLEY FAMILY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "205-853-3533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-137379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.