Active NPI
CH MSSP Services Al LLC
- Internal Medicine Physician
- Birmingham, AL
National Provider Identifier
1063111979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CH MSSP SERVICES AL LLC
- Practice address
- 1 Perimeter Park S Ste 100N
Birmingham, AL 35243-3248 - Phone
- (337) 408-0797
- NPI assigned
- Feb 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Howard
- Title
- Sr VP of Administrative Services
- Phone
- (337) 408-0797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1 Perimeter Park S Ste 100N
Birmingham, AL 35243-3248
Mailing address
5750 Johnston St Ste 205
Lafayette, LA 70503-5345
Phone (337) 408-0797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230505001134 | AL | Part B Supplier - Clinic/Group Practice | 4688039142 |
Receives reassigned benefits from 47 practitioners Practice locations: Birmingham, AL |
National Provider Directory
National Provider DirectoryLocations
1 Perimeter Park S
Ste 100N
Mountain Brook, AL 35243
Phone (205) 936-2356
Practitioners & affiliated clinicians
Practitioners 47
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": "1677542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1063111979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 JOHNSTON ST STE 205",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705035345",
"telephone_number": "337-408-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PERIMETER PARK S STE 100N",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352433248",
"telephone_number": "337-408-0797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CH MSSP SERVICES AL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-28",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "SR VP OF ADMINISTRATIVE SERVICES",
"authorized_official_telephone_number": "337-408-0797"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"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 Feb 12, 2026; 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.