Organization Active NPI

Simon Williamson Clinic Pediatrics PC

  • Pediatrics Physician
  • Birmingham, AL
National Provider Identifier
1154031789
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SIMON WILLIAMSON CLINIC PEDIATRICS PC
Practice address
832 Princeton Ave SW Ste 100
Birmingham, AL 35211-1320
Phone
(205) 206-8480
Fax
(205) 206-8448
NPI assigned
Dec 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Dr. Elizabeth Sahlie, MDNPI 1528088440
Title
Shareholder
Phone
(205) 206-8480

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

832 Princeton Ave SW Ste 100
Birmingham, AL 35211-1320

Mailing address

832 Princeton Ave SW Ste 100
Birmingham, AL 35211-1320
Phone (205) 206-8480

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
01D2276547Simon Williamson Clinic Pediatrics PC832 Princeton Avenue, SW Suite 100, Birmingham, AL 35211AccreditationFeb 26, 2028

National Provider Directory

National Provider Directory

Locations

832 Princeton Ave SW
Ste 100
Birmingham, AL 35211
Phone (205) 206-8480

Practitioners & affiliated clinicians

Practitioners 5

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": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1154031789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 PRINCETON AVE SW STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111320",
            "telephone_number": "205-206-8480",
            "fax_number": "205-206-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 PRINCETON AVE SW STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111320",
            "telephone_number": "205-206-8480",
            "fax_number": "205-206-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON WILLIAMSON CLINIC PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "SAHLIE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "205-206-8480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.