Affinity Physician Services LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

AFFINITY PHYSICIAN SERVICES LLC

Practice address

3686 Grandview Pkwy Ste 820
Birmingham, AL 35243-3408

Phone

(205) 971-3000

Fax

(205) 971-4910

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer L Jackson

Title

Sr Dir Prov Enroll & Onboarding

Phone

(615) 465-3334

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations (25 of 38)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/fhir/r4/

Practitioners 211

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tijil Agarwal

  • Neurology Physician
  • Montgomery, AL
  • NPI 1104231257
  Medicare reassignment Care Compare group NPD
• Jill Arora

  • Primary Care Nurse Practitioner
  • Birmingham, AL
  • NPI 1417493784
  Medicare reassignment Care Compare group NPD
• Michelle Renee Bagley, CRNP

  • Adult Health Nurse Practitioner
  • Birmingham, AL
  • NPI 1700247145
  Medicare reassignment Care Compare group NPD
• Elizabeth A Barron, MD

  • Obstetrics & Gynecology Physician
  • Birmingham, AL
  • NPI 1912998253
  Medicare reassignment Care Compare group NPD
• Nolan Penn Bauldree, CRNP

  • Family Nurse Practitioner
  • Helena, AL
  • NPI 1427642594
  Medicare reassignment Care Compare group NPD
• Natalya Belotserkovskaya, M.D.

  • Neurology Physician
  • Birmingham, AL
  • NPI 1164833323
  Medicare reassignment Care Compare group NPD
• Vance G Blackburn, M.D.

  • Family Medicine Physician
  • Hoover, AL
  • NPI 1720068463
  Medicare reassignment Care Compare group NPD
• William Boyd, CRNP

  • Acute Care Nurse Practitioner
  • Birmingham, AL
  • NPI 1982143228
  Medicare reassignment Care Compare group NPD
• Kenneth Wayne Bramlett, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Vestavia Hills, AL
  • NPI 1164449518
  Medicare reassignment Care Compare group NPD
• Rebecca R Byrd, M.D.

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1073616629
  Medicare reassignment Care Compare group NPD
• Julian Orlando Simon Carlo, MD

  • Orthopaedic Surgery Physician
  • Vestavia Hills, AL
  • NPI 1598927881
  Medicare reassignment Care Compare group NPD
• Adam Benjamin Carroll

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1770929176

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1366485617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 GRANDVIEW PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 820",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433408",
            "telephone_number": "205-971-3000",
            "fax_number": "205-971-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SR DIR PROV ENROLL & ONBOARDING",
        "authorized_official_telephone_number": "615-465-3334"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529928290",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Affinity Hospital LLC
• Affinity Hospital LLC
• Affinity Hospital LLC
• Affinity Orthopaedic ASC LLC
• Affinity Orthopedic Services LLC
• Affinity Urology ASC, LLC
• Affordable Dentures & Implants - Alabama, LLC
• Affordable Dentures & Implants - Birmingham-Hoover, P.C.
• Afs, PC
• After Hours Family Medicine Hoover

• General Practice Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.