Active NPI
Wellspot Medical Clinics
- Primary Care Clinic/Center
- Birmingham, AL
National Provider Identifier
1174719736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 1077717
- Legal business name
- WELLSPOT MEDICAL CLINICS
- Practice address
- 2125 Data Office Dr
Suite 102
Birmingham, AL 35244-2529 - Phone
- (205) 988-9577
- Fax
- (205) 985-8891
- NPI assigned
- Sep 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timothy Fleming, NP
- Title
- Area Branch Manager
- Phone
- (205) 988-9577
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 1077717 | AL | Primary |
Addresses
Primary practice location
2125 Data Office Dr
Suite 102
Birmingham, AL 35244-2529
Mailing address
2125 Data Office Dr
Suite 102
Birmingham, AL 35244-2529
Phone (205) 988-9577
National Provider Directory
National Provider Directory- Tax ID family
- Wellspot Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Nurse Practitioner
- Birmingham, AL
- NPI 1609893445
Locations
2125 Data Office Dr
Ste 102
Hoover, AL 35244
Phone (205) 988-9577
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Birmingham, AL
- NPI 1174718779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190073600000",
"number": "1174719736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 DATA OFFICE DR",
"address_2": "SUITE 102",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352442529",
"telephone_number": "205-988-9577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 DATA OFFICE DR",
"address_2": "SUITE 102",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352442529",
"telephone_number": "205-988-9577",
"fax_number": "205-985-8891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPOT MEDICAL CLINICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2007-09-18",
"status": "A",
"authorized_official_last_name": "FLEMING",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "AREA BRANCH MANAGER",
"authorized_official_telephone_number": "205-988-9577",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "AL",
"license": "1077717",
"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 Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.