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

Last updated

Jan 12, 2023By 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

Jennifer L Jackson

Title

Sr Dir Prov Enroll & Onboarding

Phone

(615) 465-3334

Specialties & licenses 3

Addresses

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 32)

Practitioners 253

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• 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": [],
    "endpoints": [],
    "other_names": []
}

• Affinity Hospital LLC (LabFirst)
• Affinity Hospital LLC (Trinity Medical Center)
• Affinity Hospital LLC (Grandview Medical Center)
• Affinity Orthopaedic ASC LLC
• Affinity Orthopedic Services LLC
• Affinity Urology ASC, LLC (Grandview Urology Surgery Center)
• Affordable Dentures & Implants - Alabama, LLC
• Affordable Dentures & Implants - Birmingham-Hoover, P.C. (Affordable Dentures & Implants - Birmingham-Hoover)
• Afs, PC (Alabama Fertility Specialists)
• 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.