Southlake Orthopaedics Sports Medicine and Spine Center, PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE AND SPINE CENTER, PC

Doing business as

Southlake Orthopaedics

Practice address

4517 Southlake Pkwy
Hoover, AL 35244-3280

Phone

(205) 985-4111

Fax

(205) 985-4326

NPI assigned

Jun 25, 2020

Last updated

Mar 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy Schrimsher

Title

Administrator

Phone

(205) 985-4111

Specialties & licenses 1

Addresses

Other names 2

• Southlake Orthopaedics Doing business as
• Bryant and Blum Former legal business name

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1572

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1497371405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443280",
            "telephone_number": "205-985-4111",
            "fax_number": "205-985-4326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3686 Grandview Pkwy Ste 430",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352433404",
            "country_code": "US",
            "telephone_number": "205-605-8180",
            "fax_number": "205-972-8785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE AND SPINE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-03-09",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "SCHRIMSHER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-985-4111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southlake Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southlake Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bryant and Blum",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Southern Perioperative Services P C
• Southern Smiles
• Elizabeth M. Southern
• Southlake Dental Care Management
• Southlake Orthopaedics Dba Southlake Prosthetics & Orthotics
• Southlake Orthopaedics Sports Medicine and Spine Center, PC (Southlake Orthopaedics)
• Southlake Orthopaedics Sports Medicine and Spine Center, PC (Southlake Prosthetics and Orthotics)
• Victoria Louise Spain, PHARMD
• Spaulding Enterprises LLC
• Delaney H Spaulding, DMD

• Orthopaedic Surgery Physician in Hoover, AL
• Providers in Hoover, AL by specialty
• Orthopaedic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.