Organization Active NPI

Flippo Enterprises, LLC

  • Internal Medicine Physician
  • Pinson, AL
National Provider Identifier
1245757657
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11160 Issued in AL
Legal business name
FLIPPO ENTERPRISES, LLC
Practice address
6725 Deerfoot Pkwy
Pinson, AL 35126-3093
Phone
(205) 687-6384
Fax
(205) 680-3300
NPI assigned
Aug 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Greg M Flippo, MD
Title
Owner
Phone
(205) 687-6384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 11160 AL Primary

Addresses

Primary practice location

6725 Deerfoot Pkwy
Pinson, AL 35126-3093

Mailing address

6725 Deerfoot Parkway
Pinson, AL 35126
Phone (205) 687-6384

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180412001058 AL Part B Supplier - Clinic/Group Practice 8022371699 Receives reassigned benefits from 2 practitioners
Practice locations: Trussville, AL

National Provider Directory

National Provider Directory

Locations

7201 Happy Hollow Rd
Ste 201
Trussville, AL 35173
Phone (205) 687-6384

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Village at Cook Springs Skilled Nursing FacilityPell City, AL, CCN 015195 Skilled nursing facility Adp of the SNF Feb 1, 2018
East GlenBirmingham, AL, CCN 015388 Skilled nursing facility Adp of the SNF Feb 1, 2018

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

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": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245757657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 DEERFOOT PARKWAY",
            "city": "PINSON",
            "state": "AL",
            "postal_code": "35126",
            "telephone_number": "205-687-6384",
            "fax_number": "205-680-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 DEERFOOT PKWY",
            "city": "PINSON",
            "state": "AL",
            "postal_code": "351263093",
            "telephone_number": "205-687-6384",
            "fax_number": "205-680-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLIPPO ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FLIPPO",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-687-6384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "11160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinson, AL

Sources for this page

Verify at the official NPI Registry.