Individual provider Active NPI

Tracy Michael Harrington, M.D.

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1104930627
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8603 Issued in AL
Practice address
930 20TH St S
Suite 331
Birmingham, AL 35205-2610
Phone
(205) 934-9700
Fax
(205) 975-6962
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8603 AL Primary

Addresses

Primary practice location

930 20TH St S
Suite 331
Birmingham, AL 35205-2610

Mailing address

930 20TH St S
Suite 331
Birmingham, AL 35205-2610
Phone (205) 934-9700

Other identifiers 1

IdentifierTypeStateIssuer
0110894OtherUNITEDHEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029000339 AL Practitioner - Family Practice 5193919553 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 1, 2010 Accepting new patients
University of Alabama at Birmingham CurrentSince Oct 1, 1997 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
University of Alabama at Birmingham Family Medicine CurrentSince Oct 1, 1997 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

930 20th St S
Ste 325
Birmingham, AL 35205
Phone (205) 934-9700

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

930 20th St S
Ste 331
Birmingham, AL 35205
Phone (205) 934-9700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1104930627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 20TH ST S",
            "address_2": "SUITE 331",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052610",
            "telephone_number": "205-934-9700",
            "fax_number": "205-975-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 20TH ST S",
            "address_2": "SUITE 331",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052610",
            "telephone_number": "205-934-9700",
            "fax_number": "205-975-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "TRACY",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "8603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "0110894",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.