Organization Active NPI

Iron City Psychiatry, LLC

  • Psychiatry Physician
  • Mountain BRK, AL
National Provider Identifier
1396462578
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
IRON CITY PSYCHIATRY, LLC
Practice address
200 Office Park Dr Ste 316
Mountain BRK, AL 35223-2456
Phone
(205) 202-1865
Fax
(205) 719-4107
NPI assigned
Oct 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Dr. Charles Henry Davis III, MDNPI 1801206917
Title
Sole Member
Phone
(843) 469-2387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

200 Office Park Dr Ste 316
Mountain BRK, AL 35223-2456

Mailing address

5601 11TH Ave S
Birmingham, AL 35222-4137
Phone (843) 469-2387

National Provider Directory

National Provider Directory

Locations

200 Office Park Dr
Ste 316
Mountain Brk, AL 35223
Phone (205) 202-1865

Practitioners & affiliated clinicians

Practitioners 1

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": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1396462578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 11TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352224137",
            "telephone_number": "843-469-2387",
            "fax_number": "205-719-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OFFICE PARK DR STE 316",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232456",
            "telephone_number": "205-202-1865",
            "fax_number": "205-719-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON CITY PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "843-469-2387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.