Primary Care Services of Shelby, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIMARY CARE SERVICES OF SHELBY, INC

Practice address

130 Inverness PLZ Ste 176
Birmingham, AL 35242-4800

Phone

(205) 821-3637

NPI assigned

Jan 26, 2009

Last updated

Jan 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jose Jimenez

Title

President

Phone

(205) 821-3637

Specialties & licenses 1

Addresses

Tax ID family

Primary Care Services of Shelby Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Primary Care Services of Shelby, Inc.

  • Family Medicine Physician
  • Homewood, AL
  • NPI 1386972990
  NPD tax ID

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1306084520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 INVERNESS PLZ STE 176",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424800",
            "telephone_number": "205-821-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 INVERNESS PLZ STE 176",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424800",
            "telephone_number": "205-821-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SERVICES OF SHELBY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-821-3637",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Elizabeth Pridgen
• Kathleen Pridgen
• Marlon L Priest, MD
• Primary Care Clinic
• Primary Care Medicine HDL Clinic LLC
• Darryl Dwayne Prime, MD
• Benjamin Primeaux
• Primetime Personal Care
• Catherine Clayton Prince, PH.D.
• Erin Lee Prince, M.D.

• Internal Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.