Active NPI
Greystone Family Medicine PC
- Family Medicine Physician
- Birmingham, AL
National Provider Identifier
1083080907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GREYSTONE FAMILY MEDICINE PC
- Practice address
- 6930 Cahaba Valley Rd Ste 102
Birmingham, AL 35242-2673 - Phone
- (205) 783-5207
- Fax
- (205) 783-5210
- NPI assigned
- Aug 14, 2015
- 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
- Michael C Swanson, MD
- Title
- Owner
- Phone
- (205) 783-5207
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6930 Cahaba Valley Rd Ste 102
Birmingham, AL 35242-2673
Mailing address
6930 Cahaba Valley Rd Ste 102
Birmingham, AL 35242-2673
Phone (205) 783-5207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177403 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2102839 | Greystone Family Medicine PC | Provider-performed microscopy | Apr 24, 2028 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/12166/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Hoover, AL
- NPI 1619498698
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1710041777
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1053424952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454889600000",
"number": "1083080907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6930 CAHABA VALLEY RD STE 102",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352422673",
"telephone_number": "205-783-5207",
"fax_number": "205-783-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6930 CAHABA VALLEY RD STE 102",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352422673",
"telephone_number": "205-783-5207",
"fax_number": "205-783-5210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREYSTONE FAMILY MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-14",
"last_updated": "2016-02-08",
"status": "A",
"authorized_official_last_name": "SWANSON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-783-5207",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177403",
"state": "AL"
}
],
"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 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.