Organization Active NPI

Palmer Psychiatric Services,PC

  • Psychiatry Physician
  • Montgomery, AL
National Provider Identifier
1124288436
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PALMER PSYCHIATRIC SERVICES,PC
Practice address
3090 Woodley Rd
Suite a
Montgomery, AL 36116-3100
Phone
(334) 280-3230
Fax
(334) 280-3272
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Dr. Clemmie L Palmer, MDNPI 1043211758
Title
Psychiatrist
Phone
(334) 280-3230

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

3090 Woodley Rd
Suite a
Montgomery, AL 36116-3100

Mailing address

3090 Woodley Rd
Montgomery, AL 36116-3100
Phone (334) 280-3230

Other identifiers 7

IdentifierTypeStateIssuer
51099544OtherALBLUE CROSS BLUE SHIELD FEDERAL PROGRAM
274116OtherALVALUE OPTIONS
51077444OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
529803110MedicaidAL
260043194OtherALRAILROAD MEDICARE
0005521738OtherALAETNA
1505325OtherALUNITED HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111219000277 AL Part B Supplier - Clinic/Group Practice 4183899206 Receives reassigned benefits from 1 practitioner
Practice locations: Montgomery, AL

National Provider Directory

National Provider Directory

Locations

3090 Woodley Rd
Montgomery, AL 36116
Phone (334) 440-6449

3090 Woodley Rd
Ste A
Montgomery, AL 36116
Phone (334) 280-3230

Practitioners & affiliated clinicians

Practitioners 2

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": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1124288436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 WOODLEY RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361163100",
            "telephone_number": "334-280-3230",
            "fax_number": "334-280-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 WOODLEY RD",
            "address_2": "SUITE A",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361163100",
            "telephone_number": "334-280-3230",
            "fax_number": "334-280-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER PSYCHIATRIC SERVICES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "CLEMMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "334-280-3230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FEDERAL PROGRAM",
            "identifier": "51099544",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "274116",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51077444",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529803110",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260043194",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005521738",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1505325",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.