Active NPI
North Jefferson Pediatrics
- Specialist
- Gardendale, AL
National Provider Identifier
1104012137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 17781
- Legal business name
- NORTH JEFFERSON PEDIATRICS
- Practice address
- 934 Grubbs Ave
Gardendale, AL 35071-2637 - Phone
- (205) 608-1233
- NPI assigned
- Sep 24, 2007
- 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
- Dr. Fadell N Savany
- Title
- Doctor
- Phone
- (205) 608-1233
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 17781 | AL | Primary |
Addresses
Primary practice location
934 Grubbs Ave
Gardendale, AL 35071-2637
Mailing address
PO Box 952
Gardendale, AL 35071-0952
Phone (205) 608-1222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F93530 | Other | AL | VIVA |
| 529900190 | Medicaid | AL |
Other names 2
- North Jefferson Pediatrics
- Fadell Savany
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 |
|---|---|---|---|
| 01D0953865 | North Jefferson Pediatrics | Certificate of waiver | Dec 7, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Gardendale, AL
- NPI 1033291992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1104012137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 952",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350710952",
"telephone_number": "205-608-1222",
"fax_number": "205-608-3848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "934 GRUBBS AVE",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350712637",
"telephone_number": "205-608-1233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH JEFFERSON PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-24",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "SAVANY",
"authorized_official_first_name": "FADELL",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "205-608-1233",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "AL",
"license": "17781",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIVA",
"identifier": "F93530",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529900190",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Jefferson Pediatrics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Fadell Savany",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Gardendale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.