Individual provider Active NPI

Max Ronald Shiver, MD

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1184623241
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.8463 Issued in AL
Practice address
9174 Parkway E
Birmingham, AL 35206-1507
Phone
(205) 498-2675
Fax
(205) 498-2676
NPI assigned
Jul 20, 2005
Last updated
May 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.8463 AL Primary

Addresses

Primary practice location

9174 Parkway E
Birmingham, AL 35206-1507

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (615) 314-5257

Other identifiers 4

IdentifierTypeStateIssuer
009915600MedicaidAL
00203145FMedicaidGA
234255OtherGABC/BS GEORGIA
051060676OtherALBC/BS ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040708000767 AL Practitioner - Emergency MedicinePractitioner - Internal Medicine 7315845146 Reassigns benefits to 5 organizations
I20160712002535 GA Practitioner - Emergency Medicine 7315845146

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
University of South Alabama College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immh Scottsboro LLCGroup PAC ID 2567787344, 15 clinicians

Practice addresses (Care Compare)

380 Woods Cove Rd
Scottsboro, AL 35768-2428
Phone (240) 686-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.8463ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Professional Services of Alabama, LLC Internal Medicine CurrentSince Jun 7, 2022 Accepting new patients
The Sylacauga Health Care Authority CurrentSince Sep 23, 2017 Accepting new patients
Emergency Staffing Solutions Inc CurrentSince Feb 6, 2013 Accepting new patients
Immh Scottsboro LLC CurrentSince Apr 1, 2022 Accepting new patients
App of Alabama Ed PLLC CurrentSince Aug 19, 2017 Accepting new patients
The Sylacauga Health Care Authority CurrentSince Sep 23, 2017 Accepting new patients
Shawmut Emergency Physicians Past Accepting new patients
Coosa River Emergency Physicians, PLLC Past Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients
Emergency Medical Specialist PastSince Jul 1, 2004 Accepting new patients
Jackson Montgomery Emergency Physcians, LLC Past Accepting new patients
Lanier Internal Medicine Internal Medicine Past Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

9174 Roebuck Pkwy E
Birmingham, AL 35206
Phone (205) 498-2675

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1701 Pelham Rd S
Jacksonville, AL 36265
Phone (256) 435-4970

165 Bessemer Super Hwy
Midfield, AL 35228
Phone (205) 336-1534

9518 US Highway 231
Rockford, AL 35136
Phone (256) 377-4366

15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

4800 48th St
Valley, AL 36854
Phone (334) 756-1401

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Organizations & group practices 12

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1184623241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "615-314-5257",
            "fax_number": "615-692-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9174 PARKWAY E",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352061507",
            "telephone_number": "205-498-2675",
            "fax_number": "205-498-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVER",
        "first_name": "MAX",
        "middle_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.8463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009915600",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00203145F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GEORGIA",
            "identifier": "234255",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ALABAMA",
            "identifier": "051060676",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.