Individual provider Active NPI

John Talyor Anderson, M.D.

  • Allergy & Immunology Physician
  • Homewood, AL
National Provider Identifier
1154543452
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
28496 Issued in AL
Practice address
504 Brookwood Blvd
Homewood, AL 35209-6802
Phone
(205) 871-9661
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 28496 AL
Pediatrics Physician 208000000X 28496 AL
Pulmonary Disease Physician 207RP1001X 28496 AL
Allergy & Immunology Physician 207K00000X 28496 AL Primary

Addresses

Primary practice location

504 Brookwood Blvd
Homewood, AL 35209-6802

Mailing address

PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701

Other identifiers 7

IdentifierTypeStateIssuer
00752754MedicaidMS
128677MedicaidAL
128676MedicaidAL
051116644OtherALBCBS
051116645OtherALBCBS
051116646OtherALBCBS
128675MedicaidAL

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
I20090626000465 AL Practitioner - Allergy/ImmunologyPractitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Pediatric Medicine 1456402775 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine, Pediatric Medicine
Education
Ohio State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allervie Health, Professional CorporationGroup PAC ID 1254358310, 15 clinicians

Practice addresses (Care Compare)

504 Brookwood Blvd
Birmingham, AL 35209-6802
Phone (205) 871-9661

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Asthma, Allergy & Immunology Center, P.C. Allergy & Immunology CurrentSince May 1, 2024 Accepting new patients
Allervie Health Professional Corporation Allergy & Immunology CurrentSince Apr 1, 2013 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2011 Accepting new patients
Premier Allergist of Florida LLC Allergy & Immunology PastSince Apr 1, 2013 Accepting new patients

Locations

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

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

619 19th St S
Birmingham, AL 35249

2108 AL Highway 157
Cullman, AL 35058
Phone (256) 737-7339

504 Brookwood Blvd
Homewood, AL 35209
Phone (205) 209-4121

2100 Data Park
Ste 200
Hoover, AL 35244
Phone (205) 209-4115

4030 Pepperwood Cir SW
Huntsville, AL 35801
Phone (256) 539-6536

641 Snow St
Oxford, AL 36203
Phone (256) 273-4963

Interoperability endpoints

  • Direct secure messaging: anderson.john.014.0010059@aaac.meditab.direct-ci.com
  • Direct secure messaging: anderson.john.018.0010059@aaac.meditab.direct-ci.com
  • Direct secure messaging: anderson.john.002.0010059@aaac.meditab.direct-ci.com
  • Direct secure messaging: anderson.john.003.0010059@aaac.meditab.direct-ci.com
  • Direct secure messaging: anderson.john.015.0010059@aaac.meditab.direct-ci.com
  • Direct secure messaging: anderson.john.028.0010059@aaac.meditab.direct-ci.com
  • Direct secure messaging: anderson.john.016.0010059@aaac.meditab.direct-ci.com
  • Direct secure messaging: john.anderson.041.0090427@avh.meditab.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mbhatia@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1154543452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310",
            "telephone_number": "205-731-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 BROOKWOOD BLVD",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096802",
            "telephone_number": "205-871-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOHN",
        "middle_name": "TALYOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": "28496",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "28496",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "28496",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AL",
            "license": "28496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00752754",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128677",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128676",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051116644",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051116645",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051116646",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128675",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.