NPIMap

Organization Active NPI

Southern Psychiatric Associates, LLC

  • Psychiatry Physician
  • Birmingham, AL
National Provider Identifier
1245216043
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SOUTHERN PSYCHIATRIC ASSOCIATES, LLC
Practice address
100 Century Park S
Suite 206
Birmingham, AL 35226-3949
Phone
(205) 978-7800
Fax
(205) 978-7802
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Authorized official

Name
Ms. Peggy Holly
Title
Manager
Phone
(205) 978-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

100 Century Park S
Suite 206
Birmingham, AL 35226-3949

Mailing address

100 Century Park South
Suite 206
Birmingham, AL 35226-3922
Phone (205) 978-7800

National Provider Directory

National Provider Directory

Locations

100 Century Park S
Ste 206
Birmingham, AL 35226
Phone (205) 978-7800

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": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1245216043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTURY PARK SOUTH",
            "address_2": "SUITE 206",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263922",
            "telephone_number": "205-978-7800",
            "fax_number": "205-978-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTURY PARK S",
            "address_2": "SUITE 206",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263949",
            "telephone_number": "205-978-7800",
            "fax_number": "205-978-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PSYCHIATRIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "HOLLY",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "205-978-7800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.