Individual provider Active NPI

Pamela James

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1285189217
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-083316 Issued in AL
Practice address
1000 Southlake Park Ste 100
Birmingham, AL 35244-5700
Phone
(205) 682-9994
NPI assigned
Aug 19, 2016
Last updated
Aug 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-083316 AL Primary

Addresses

Primary practice location

1000 Southlake Park Ste 100
Birmingham, AL 35244-5700

Mailing address

1000 Southlake Park Ste 100
Birmingham, AL 35244-5700
Phone (205) 682-9994

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104001056 AL Practitioner - Nurse Practitioner 7911430517 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-083316ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Physician Network, P.C. CurrentSince Aug 18, 2024 Accepting new patients
Alabama Cancer Care, LLC CurrentSince Oct 1, 2024 Accepting new patients
Southeast Physician Network, P.C. CurrentSince Aug 18, 2024 Accepting new patients

Locations

105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669

1608 Glenn Blvd SW
Fort Payne, AL 35968
Phone (256) 244-4150

509 Energy Center Blvd
Ste 804
Northport, AL 35473
Phone (205) 345-9088

1410 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 345-8208

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": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1285189217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SOUTHLAKE PARK STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352445700",
            "telephone_number": "205-682-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SOUTHLAKE PARK STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352445700",
            "telephone_number": "205-682-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-083316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.