NPIMap

Organization Active NPI

The Children'S Hospital of Alabama

  • Pediatrics Physician
  • Hueytown, AL
National Provider Identifier
1104903749
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
THE CHILDREN'S HOSPITAL OF ALABAMA
Practice address
2001 Old Warrior River Rd
Hueytown, AL 35023-1890
Phone
(205) 481-1886
Fax
(205) 638-5570
NPI assigned
Nov 1, 2006
Organization subpart
Yes
Parent organization
THE CHILDREN'S HOSPITAL OF ALABAMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Dawn Walton
Title
Cfo
Phone
(205) 638-9073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2001 Old Warrior River Rd
Hueytown, AL 35023-1890

Mailing address

2001 Old Warrior River Rd
Hueytown, AL 35023-1890
Phone (205) 481-1886

Other practice location 1

1090 9th Ave SW Ste 100
Bessemer, AL 35022-4699
Phone (205) 481-1886

Other practice location 2

4730 Bell Hill Rd
Bessemer, AL 35022-6947
Phone (205) 426-3010

Other names 1

  • Pediatrics West Doing business as

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 70

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 70

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
01D0984578Pediatrics West Hueytown2001 Old Warrior River Road, Hueytown, AL 35023AccreditationMar 19, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040623000693 AL Part B Supplier - Clinic/Group Practice 7113902123 Receives reassigned benefits from 8 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Birmingham, AL; Hueytown, AL

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hosp of Al20 organizations share this tax ID, including this one
Part of
Childrens Hosp of Al

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

1022 1st St N
Ste 102
Alabaster, AL 35007
Phone (205) 663-9550

1090 9th Ave SW
Ste 100
Bessemer, AL 35022
Phone (205) 481-1886

4730 Bell Hill Rd
Bessemer, AL 35022
Phone (205) 426-3010

1600 7th Ave S
#8
Birmingham, AL 35233
Phone (205) 996-7850

1600 7th Ave S
#7
Birmingham, AL 35233
Phone (205) 939-9918

720 20th St S
Ste 241
Birmingham, AL 35233
Phone (256) 533-0833

1600 7th Ave S
#4
Birmingham, AL 35233
Phone (205) 939-5160

1208 3rd Ave S
Birmingham, AL 35233
Phone (205) 638-6289

1600 7th Ave S
#5
Birmingham, AL 35233
Phone (205) 939-9285

3600 Ridgeway Dr
Homewood, AL 35209
Phone (205) 638-2473

200 Wildwood Pkwy
Ste 110
Homewood, AL 35209
Phone (205) 638-7500

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1104903749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 OLD WARRIOR RIVER RD",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350231890",
            "telephone_number": "205-481-1886",
            "fax_number": "205-638-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 OLD WARRIOR RIVER RD",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350231890",
            "telephone_number": "205-481-1886",
            "fax_number": "205-638-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 9th Ave SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bessemer",
            "state": "AL",
            "postal_code": "350224699",
            "country_code": "US",
            "telephone_number": "205-481-1886",
            "fax_number": "205-638-5570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4730 Bell Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Bessemer",
            "state": "AL",
            "postal_code": "350226947",
            "country_code": "US",
            "telephone_number": "205-426-3010",
            "fax_number": "205-481-9034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE CHILDREN'S HOSPITAL OF ALABAMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHILDREN'S HOSPITAL OF ALABAMA",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-07-15",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-638-9073"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrics West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatrics West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hueytown, AL

Sources for this page

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