NPIMap

Organization Active NPI

Medhelp Shelby, LLC

  • Family Medicine Physician
  • Pelham, AL
National Provider Identifier
1053832089
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDHELP SHELBY, LLC
Practice address
3170 Pelham Pkwy
Pelham, AL 35124-2023
Phone
(205) 620-2270
Fax
(205) 620-2279
NPI assigned
Jun 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Delane Hill, CREDENTIALING
Title
Credentialing Specialist
Phone
(205) 547-3996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3170 Pelham Pkwy
Pelham, AL 35124-2023

Mailing address

1 W Lakeshore Dr Ste 100
Birmingham, AL 35209-7271
Phone (205) 930-2950

Other practice location 1

151 Narrows Pkwy Ste 110
Birmingham, AL 35242-8638
Phone (205) 444-9550

Other names 1

  • MedHelp Shelby, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171010002009 AL Part B Supplier - Clinic/Group Practice 2163797689 Receives reassigned benefits from 28 practitioners
Practice locations: Birmingham, AL; Pelham, AL

National Provider Directory

National Provider Directory

Locations

1 W Lakeshore Dr
Ste 100
Birmingham, AL 35209
Phone (205) 547-3996

3143 Pelham Pkwy
Ste 110
Pelham, AL 35124

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1053832089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W LAKESHORE DR STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097271",
            "telephone_number": "205-930-2950",
            "fax_number": "205-930-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242023",
            "telephone_number": "205-620-2270",
            "fax_number": "205-620-2279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Narrows Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352428638",
            "country_code": "US",
            "telephone_number": "205-444-9550",
            "fax_number": "205-314-6630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDHELP SHELBY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "DELANE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "205-547-3996",
        "authorized_official_credential": "CREDENTIALING"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedHelp Shelby, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedHelp Shelby, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.