Organization Active NPI

Specialized Healthcare LLC

  • Pain Medicine Physician
  • Moody, AL
National Provider Identifier
1194970525
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
PM.326 Issued in AL
Legal business name
SPECIALIZED HEALTHCARE LLC
Practice address
2345 Moody Pkwy
Ste 204
Moody, AL 35004-3004
Phone
(205) 640-0001
Fax
(205) 640-1557
NPI assigned
Nov 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Dr. Reginald M Smith, MDNPI 1700877719
Title
Owner/Physician
Phone
(205) 640-0001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 27262 AL
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X PM.326 AL Primary

Addresses

Primary practice location

2345 Moody Pkwy
Ste 204
Moody, AL 35004-3004

Mailing address

PO Box 175
Moody, AL 35004-0175
Phone (205) 640-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090121000298 AL Part B Supplier - Clinic/Group Practice 9335203231 Receives reassigned benefits from 1 practitioner
Practice locations: Moody, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2082819Specialized Healthcare LLC2345 Moody Parkway, Suite 204, Moody, AL 35004Certificate of waiverAug 21, 2026

National Provider Directory

National Provider Directory

Locations

800 Montclair Rd
#9
Birmingham, AL 35213
Phone (205) 599-4617

2301 Moody Pkwy
Ste 2
Moody, AL 35004
Phone (205) 577-0294

2345 Moody Pkwy
Ste 204
Moody, AL 35004
Phone (205) 640-0001

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": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1194970525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350040175",
            "telephone_number": "205-640-0001",
            "fax_number": "205-640-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 MOODY PKWY",
            "address_2": "STE 204",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043004",
            "telephone_number": "205-640-0001",
            "fax_number": "205-640-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "205-640-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "27262",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AL",
            "license": "PM.326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moody, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (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.