Organization Active NPI

Acipco Medical Group, Inc.

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1508887738
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
06023933 Issued in AL
Legal business name
ACIPCO MEDICAL GROUP, INC.
Practice address
3200 16TH St N
Birmingham, AL 35207-4202
Phone
(205) 325-7001
Fax
(205) 325-1976
NPI assigned
Jul 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. J W Pitts Jr., M.D.
Title
President/Medical Director
Phone
(205) 325-7001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 06023933 AL Primary

Addresses

Primary practice location

3200 16TH St N
Birmingham, AL 35207-4202

Mailing address

PO Box 12725
Birmingham, AL 35202-6725
Phone (205) 325-7001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508887738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12725",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352026725",
            "telephone_number": "205-325-7001",
            "fax_number": "205-325-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 16TH ST N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352074202",
            "telephone_number": "205-325-7001",
            "fax_number": "205-325-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACIPCO MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "205-325-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "06023933",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.