Amanda M McAnnally, ATC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

940 Issued in AL

Practice address

805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1636

Phone

(205) 939-3699

Fax

(205) 581-7155

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1104947712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051636",
            "telephone_number": "205-939-3699",
            "fax_number": "205-581-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051636",
            "telephone_number": "205-939-3699",
            "fax_number": "205-581-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANNALLY",
        "first_name": "AMANDA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AL",
            "license": "940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051545918",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATABOC",
            "identifier": "940",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aileen Hood McAlister, M.D.
• Sarah Clark McAlister, CRNA
• Linda Gale McAllister, CRNP
• Jocelyn Sade McAlpine, CRNP
• Alan Lyvoid McAndrews, D.M.D.
• Kara McAnnally, CRNA
• Philip McArdle
• Robyn McArdle, OTR/L
• Christopher McAtee, MD
• Alyse McBrayer, PA-C

• Sports Medicine (Orthopaedic Surgery) Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.