Organization Active NPI

Rocky Ridge Family Medicine, LLC

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1245266378
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROCKY RIDGE FAMILY MEDICINE, LLC
Practice address
2470 Rocky Ridge Rd
Ste 200
Birmingham, AL 35243-2833
Phone
(205) 823-1899
Fax
(205) 823-9369
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Judy A Campodonico
Title
Director of Operations
Phone
(205) 879-8294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2470 Rocky Ridge Rd
Ste 200
Birmingham, AL 35243-2833

Mailing address

2470 Rocky Ridge Rd
Ste 200
Birmingham, AL 35243-2833
Phone (205) 823-1899

National Provider Directory

National Provider Directory

Locations

2470 Rocky Ridge Rd
Ste 200
Vestavia, AL 35243
Phone (205) 286-3200

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245266378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 ROCKY RIDGE RD",
            "address_2": "STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432833",
            "telephone_number": "205-823-1899",
            "fax_number": "205-823-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 ROCKY RIDGE RD",
            "address_2": "STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432833",
            "telephone_number": "205-823-1899",
            "fax_number": "205-823-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY RIDGE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPODONICO",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "205-879-8294"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Aug 22, 2020; 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.