NPIMap

Individual provider Active NPI

Cliff Walker Arceneaux, PA-C

  • Physician Assistant
  • Birmingham, AL
National Provider Identifier
1457442840
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-473 Issued in AL
Practice address
1 W Lakeshore Dr
Birmingham, AL 35209-0500
Phone
(205) 916-0105
NPI assigned
Sep 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-473 AL Primary

Addresses

Primary practice location

1 W Lakeshore Dr
Birmingham, AL 35209-0500

Mailing address

50 County Road 52
Jemison, AL 35085-5068
Phone (205) 245-3422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070208000497 AL Practitioner - Physician Assistant 9436151107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Home Team Medical Services, LLCGroup PAC ID 8921445792, 5 clinicians

Practice addresses (Care Compare)

2700 Hwy 280 S
Suite 370E
Mountain BRK, AL 35223-5409
Phone (205) 709-1820

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-473ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Medical Associates of Georgia LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cliff.arceneaux.1@30418.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457442840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COUNTY ROAD 52",
            "city": "JEMISON",
            "state": "AL",
            "postal_code": "350855068",
            "telephone_number": "205-245-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W LAKESHORE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352090500",
            "telephone_number": "205-916-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCENEAUX",
        "first_name": "CLIFF",
        "middle_name": "WALKER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA-473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.