NPIMap

Organization Active NPI

Livinghealthymd PC

  • Interventional Pain Medicine Physician
  • Huntsville, AL
National Provider Identifier
1073181723
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
LIVINGHEALTHYMD PC
Practice address
3626 Memorial Pkwy SW
Huntsville, AL 35801-5320
Phone
(256) 715-7483
Fax
(256) 715-7414
NPI assigned
Jun 17, 2021
Last updated
Mar 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Dr. John Roberts, M.D.NPI 1851380976
Title
M.D./Owner
Phone
(256) 715-7483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

3626 Memorial Pkwy SW
Huntsville, AL 35801-5320

Mailing address

3626 Memorial Pkwy SW
Huntsville, AL 35801-5320
Phone (256) 715-7483

Other practice location 1

431 Johnston St SE
Decatur, AL 35601-3007
Phone (256) 715-7483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210804000025 AL Part B Supplier - Clinic/Group Practice 1658775226 Receives reassigned benefits from 11 practitioners
Practice locations: Decatur, AL; Huntsville, AL; Madison, AL; Tuscumbia, AL
O20250206002972 AL DME Supplier - Physician - Interventional Pain Management 1658775226 Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Locations

2117 Veterans Dr SE
Decatur, AL 35601

122 Helton Ct
Florence, AL 35630
Phone (256) 718-0099

805 Madison St SE
Ste E
Huntsville, AL 35801

2314 Pansy St SW
Huntsville, AL 35801
Phone (256) 534-5028

3626 Memorial Pkwy SW
Huntsville, AL 35801
Phone (256) 715-7483

1404 E Avalon Ave
Tuscumbia, AL 35674
Phone (256) 381-5507

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1073181723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015320",
            "telephone_number": "256-715-7483",
            "fax_number": "256-715-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015320",
            "telephone_number": "256-715-7483",
            "fax_number": "256-715-7414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "431 Johnston St SE",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356013007",
            "country_code": "US",
            "telephone_number": "256-715-7483",
            "fax_number": "256-715-7414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVINGHEALTHYMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "256-715-7483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.