Individual provider Active NPI

Chelsea Zimmerman, M.D.

  • Pediatric Endocrinology Physician
  • Opelika, AL
National Provider Identifier
1205223617
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
MD.42384 Issued in AL
Practice address
2420 Village Professional Dr S
Opelika, AL 36801-4742
Phone
(334) 528-7270
Fax
(334) 528-7271
NPI assigned
Apr 23, 2015
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatric Endocrinology Physician 2080P0205X MD.42384 AL Primary

Addresses

Primary practice location

2420 Village Professional Dr S
Opelika, AL 36801-4742

Mailing address

2420 Village Professional Dr S
Opelika, AL 36801-4742
Phone (334) 528-7270

Other practice location 1

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 392-2780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210812001205 AL Practitioner - Pediatric MedicinePractitioner - Endocrinology 6103132246 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.42384ALMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The East Alabama Health Care Authority CurrentSince Aug 1, 2021 Accepting new patients
The East Alabama Health Care Authority CurrentSince Aug 1, 2021 Accepting new patients
Emergency Medicine South Past Accepting new patients

Locations

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

2420 Village Professional Dr S
Opelika, AL 36801
Phone (334) 528-7270

Interoperability endpoints

  • Direct secure messaging: czimmerman181880@direct.shands.ufl.edu
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
  • FHIR API: https://fhir-myrecord.cerner.com/r4/c5013bf3-ebba-4bda-8574-ed83da9e1633/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1205223617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 VILLAGE PROFESSIONAL DR S",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014742",
            "telephone_number": "334-528-7270",
            "fax_number": "334-528-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 VILLAGE PROFESSIONAL DR S",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014742",
            "telephone_number": "334-528-7270",
            "fax_number": "334-528-7271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-392-2780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "CHELSEA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "AL",
            "license": "MD.42384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.