Individual provider Active NPI

Caroline Howard Studdard, MD

  • Internal Medicine Physician
  • Vestavia, AL
National Provider Identifier
1215319058
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35628 Issued in AL
Practice address
8000 Liberty Pkwy Ste 114
Vestavia, AL 35242-7563
Phone
(205) 968-5988
Fax
(205) 968-5990
NPI assigned
Jun 28, 2015
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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 35628 AL Primary

Addresses

Primary practice location

8000 Liberty Pkwy Ste 114
Vestavia, AL 35242-7563

Mailing address

8000 Liberty Pkwy Ste 114
Vestavia, AL 35242-7563
Phone (205) 968-5988

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address caroline.studdard.2@9954.direct.athenahealth.com

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
I20180913002598 AL Practitioner - Internal Medicine 9234447749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physician Services, LLCGroup PAC ID 4385651751, 92 clinicians

Practice addresses (Care Compare)

5890 Valley Rd
Suite 200
Birmingham, AL 35235-8669
Phone (205) 655-7600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35628ALMDInternal Medicine Physician

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, 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": "1435449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1215319058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 LIBERTY PKWY STE 114",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352427563",
            "telephone_number": "205-968-5988",
            "fax_number": "205-968-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 LIBERTY PKWY STE 114",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352427563",
            "telephone_number": "205-968-5988",
            "fax_number": "205-968-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDDARD",
        "first_name": "CAROLINE",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-28",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "35628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caroline.studdard.2@9954.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "8000 Liberty Pkwy Ste 114",
            "city": "Vestavia",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352427563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

Verify at the official NPI Registry.