Eugene Baldwin Jr. – Family Nurse Practitioner

Key facts

NPI: 1194429639
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 1-182756 (AL)
Practice address: 1664 Forestdale Blvd
Birmingham, AL 35214-2042
Phone: (205) 409-2794
NPI assigned: Mar 29, 2023
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Southern Immediate Care, LLC Urgent Care Clinic/Center · Anniston, AL · NPI 1467909978

Medicare reassignment Care Compare group NPD AL · SINGLE SPECIALTY

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2024
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Southern Immediate Care, LLC (46 clinicians)

Practice addresses (Care Compare)

4100 McClellan Blvd
Anniston, AL 36201-2132
Phone (256) 235-2273

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20250116001235	AL	Practitioner - Nurse Practitioner	6709314818	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
1-182756	AL	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Southern Immediate Care, LLC	Single Specialty	Current since Nov 19, 2024	Accepting new patients

Locations

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

1664 Forestdale Blvd
Forestdale, AL 35214
Phone (205) 409-2794

1944 28th Ave S
Homewood, AL 35209
Phone (205) 408-2366

Interoperability endpoints

FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner Group: 193400000X SINGLE SPECIALTY GROUP	363LF0000X	1-182756	AL	Yes
Registered Nurse	163W00000X	1-182756	AL

Addresses

Primary practice location

1664 Forestdale Blvd
Birmingham, AL 35214-2042

Mailing address

1664 Forestdale Blvd
Birmingham, AL 35214-2042
Phone (205) 409-2794

Other providers in Birmingham, AL

All providers in Birmingham, AL · Family Nurse Practitioner in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.