Active NPI
Wound100 Southeast LLC
- Clinic/Center
- Birmingham, AL
National Provider Identifier
1407727993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WOUND100 SOUTHEAST LLC
- Practice address
- 4000 Eagle Point Corporate Dr
Birmingham, AL 35242-1900 - Phone
- (205) 855-2237
- NPI assigned
- Sep 16, 2025
- 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
- Frank Emsick
- Title
- Chief Technology Officer
- Phone
- (402) 651-6040
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
4000 Eagle Point Corporate Dr
Birmingham, AL 35242-1900
Mailing address
17414 Washington St
Omaha, NE 68135-3202
Phone (402) 651-6040
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1407727993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17414 WASHINGTON ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681353202",
"telephone_number": "402-651-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 EAGLE POINT CORPORATE DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352421900",
"telephone_number": "205-855-2237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUND100 SOUTHEAST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-16",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "EMSICK",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "CHIEF TECHNOLOGY OFFICER",
"authorized_official_telephone_number": "402-651-6040"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.