Childrens Medical Group P C

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CHILDRENS MEDICAL GROUP P C

Practice address

2316 7TH Ave S
Suite 100
Birmingham, AL 35233-3200

Phone

(205) 251-4141

Fax

(205) 251-2004

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Brian Lasker

Title

Owner

Phone

(205) 515-0538

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Denton, M.D.

  • Pediatrics Physician
  • Birmingham, AL
  • NPI 1033138748
  NPD (past)
• Lisa Hunt, CRNP

  • Pediatric Nurse Practitioner
  • Birmingham, AL
  • NPI 1245949379
  NPD (past)
• Millie M McDaniel, MD

  • Pediatrics Physician
  • Birmingham, AL
  • NPI 1710037619
  NPD (past)
• Cristina B. Miesch, MD

  • Pediatrics Physician
  • Birmingham, AL
  • NPI 1528558368
  NPD (past)
• Tracy F Tindle, MD

  • Pediatrics Physician
  • Birmingham, AL
  • NPI 1861542193
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1184771636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 7TH AVE S STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333215",
            "telephone_number": "205-251-4141",
            "fax_number": "205-251-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 7TH AVE S",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333200",
            "telephone_number": "205-251-4141",
            "fax_number": "205-251-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS MEDICAL GROUP P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "LASKER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-515-0538"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children'S Dentistry of Alabama
• Children'S of Alabama
• Children'S Urgent Care, LLC
• Children'S Village
• Childrens Eye Care of the South Inc
• Childrens of Alabama
• Caleb Matthew Childress
• James Clayton Childress, CPNP-AC
• Latarya Michelle Childress, LPN
• Margaret Mary Childress, PHARM D

• Pediatrics Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.