NPIMap

Organization Active NPI

Prestige Family Medicine

  • Nephrology Physician
  • Jasper, AL
National Provider Identifier
1447406301
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
PRESTIGE FAMILY MEDICINE
Practice address
3400 Highway 78 E
Medical Arts Tower; Suite 110
Jasper, AL 35501-8907
Phone
(205) 387-4401
NPI assigned
Aug 12, 2008
Last updated
Aug 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST HEALTH CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Valeta D. Neal
Title
President
Phone
(205) 715-5901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

3400 Highway 78 E
Medical Arts Tower; Suite 110
Jasper, AL 35501-8907

Mailing address

PO Box 830605
Birmingham, AL 35283-0605
Phone (205) 715-5943

National Provider Directory

National Provider Directory
Part of
Baptist Health Centers LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

800 Hall St
Greensboro, AL 36744
Phone (334) 624-0871

3400 Highway 78 E
Ste 110
Jasper, AL 35501
Phone (205) 221-1755

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1447406301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830605",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352830605",
            "telephone_number": "205-715-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 E",
            "address_2": "MEDICAL ARTS TOWER; SUITE 110",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018907",
            "telephone_number": "205-387-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE FAMILY MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HEALTH CENTERS, INC.",
        "enumeration_date": "2008-08-12",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "VALETA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-715-5901"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.