Organization Active NPI

North Jefferson Pediatrics

  • Specialist
  • Gardendale, AL
National Provider Identifier
1104012137
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17781 Issued in AL
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

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Fadell N SavanyNPI 1033291992
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
F93530OtherALVIVA
529900190MedicaidAL

Other names 2

  • North Jefferson Pediatrics Doing business as
  • Fadell Savany Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0953865North Jefferson Pediatrics934 Grubbs Ave, Gardendale, AL 35071Certificate of waiverDec 7, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.