Active NPI
Edward A Childs, MD
- Internal Medicine Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 08140
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000084753 | Other | AL | BLUE CROSS |
| 000084753 | Medicaid | AL | |
| 6438 | Other | AL | HEALTHSPRING |
| C73158 | Other | AL | VIVA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08140 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | 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. | 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 | 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 | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Marion, AL
- NPI 1437238151
-
- Federally Qualified Health Center (FQHC)
- Vredenburgh, AL
- NPI 1104995208
-
- Federally Qualified Health Center (FQHC)
- Thomaston, AL
- NPI 1215471032
-
- Federally Qualified Health Center (FQHC)
- Pine Apple, AL
- NPI 1295804391
-
- Family Medicine Physician
- Monroeville, AL
- NPI 1457994121
-
- Podiatrist
- Selma, AL
- NPI 1871458927
-
- Federally Qualified Health Center (FQHC)
- Selma, AL
- NPI 1992040950
-
- Federally Qualified Health Center (FQHC)
- Uniontown, AL
- NPI 1033298757
-
- Federally Qualified Health Center (FQHC)
- Camden, AL
- NPI 1760561419
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.