Active NPI
Iron City Psychiatry, LLC
- Psychiatry Physician
- Mountain BRK, AL
National Provider Identifier
1396462578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Henry Davis III, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 DirectoryLocations
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.
-
- Psychiatry Physician
- Birmingham, AL
- NPI 1801206917
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.