NPIMap

Organization Active NPI

Haynes Neurosugical Group, P.a.

  • Neurological Surgery Physician
  • Birmingham, AL
National Provider Identifier
1306973060
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
11156 Issued in AL
Legal business name
HAYNES NEUROSUGICAL GROUP, P.A.
Practice address
801 Princeton Ave SW
Suite 310
Birmingham, AL 35211-1310
Phone
(205) 787-8676
Fax
(205) 785-7944
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Authorized official

Name
Mrs. Tammy Michelle Sivley
Title
Billing Manager
Phone
(205) 787-8676

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207T00000X 11156 AL Primary
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207T00000X 16869 AL

Addresses

Primary practice location

801 Princeton Ave SW
Suite 310
Birmingham, AL 35211-1310

Mailing address

801 Princeton Ave SW
Suite 310
Birmingham, AL 35211-1310
Phone (205) 787-8676

Other identifiers 5

IdentifierTypeStateIssuer
1902849300OtherALDR. ROBERT J. JOHNSON JR.
000089898MedicaidAL
528700620MedicaidAL
000015654MedicaidAL
1518905116OtherALDR. RESIT CEM CEZAYIRLI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060111000491 AL Part B Supplier - Clinic/Group Practice 0345263760 Receives reassigned benefits from 4 practitioners
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory
Tax ID family
Haynes Neurosugical Group PA2 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.

Practitioners & affiliated clinicians

Practitioners 8

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1306973060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW",
            "address_2": "SUITE 310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111310",
            "telephone_number": "205-787-8676",
            "fax_number": "205-785-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW",
            "address_2": "SUITE 310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111310",
            "telephone_number": "205-787-8676",
            "fax_number": "205-785-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYNES NEUROSUGICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "SIVLEY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "205-787-8676",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": "11156",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": "16869",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. ROBERT J. JOHNSON JR.",
            "identifier": "1902849300",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000089898",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528700620",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000015654",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. RESIT CEM CEZAYIRLI",
            "identifier": "1518905116",
            "state": "AL"
        }
    ],
    "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 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.