Individual provider Active NPI

Edward A Childs, MD

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1497797575
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
08140 Issued in AL
Practice address
619 19TH St S
Birmingham, AL 35249-1900
Phone
(205) 934-6600
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 08140 AL Primary

Addresses

Primary practice location

619 19TH St S
Birmingham, AL 35249-1900

Mailing address

PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701

Other identifiers 4

IdentifierTypeStateIssuer
000084753OtherALBLUE CROSS
000084753MedicaidAL
6438OtherALHEALTHSPRING
C73158OtherALVIVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121017000972 AL Practitioner - Internal Medicine 2860642345 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
08140ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Medical Program, Inc. Current Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Rural Health Medical Program, Inc. Current Accepting new patients
Rural Health Medical Program, Inc CurrentSince Sep 1, 2012 Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Rural Health Medical Program, Inc. CurrentSince Sep 1, 2012 Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients

Locations

2210 Highway 221
Camden, AL 36726
Phone (334) 682-5772

1310 Washington St
Marion, AL 36756
Phone (334) 683-2073

3040 S Alabama Ave
Monroeville, AL 36460
Phone (334) 874-7428

867 County Road 59
Pine Apple, AL 36768
Phone (251) 746-2197

101 Park Pl
Selma, AL 36701
Phone (334) 526-2200

111 Main St
Thomaston, AL 36783
Phone (334) 627-3497

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13116/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1497797575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310",
            "telephone_number": "205-731-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352491900",
            "telephone_number": "205-934-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "EDWARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "08140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000084753",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000084753",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING",
            "identifier": "6438",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "C73158",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.