Organization Active NPI

Wellspot Medical Clinics

  • Primary Care Clinic/Center
  • Birmingham, AL
National Provider Identifier
1174719736
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
1077717 Issued in AL
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

Updated by the provider on Sep 18, 2007

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)CodeLicenseStatePrimary
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.