Individual provider Active NPI

John Watkins, MD

  • Internal Medicine Physician
  • Irondale, AL
National Provider Identifier
1528081353
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11289 Issued in AL
Practice address
2000 Crestwood Blvd
Suite 200
Irondale, AL 35210-2036
Phone
(205) 956-0672
Fax
(205) 956-9964
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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 11289 AL Primary

Addresses

Primary practice location

2000 Crestwood Blvd
Suite 200
Irondale, AL 35210-2036

Mailing address

2000 Crestwood Blvd
Suite 200
Irondale, AL 35210-2036
Phone (205) 956-0672

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
I20100503000453 AL Practitioner - Internal Medicine 0840328498 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Apr 1, 2015 Accepting new patients
Med Help PC Current Accepting new patients
American Family Care, LLC CurrentSince Apr 1, 2015 Accepting new patients
Pulmonary Associates of the Southeast PC Internal Medicine PastSince Sep 1, 2010 Accepting new patients

Locations

1 W Lakeshore Dr
Ste 100
Birmingham, AL 35209
Phone (205) 547-3996

4600 Highway 280
Birmingham, AL 35242
Phone (205) 408-1231

1680 Montgomery Hwy
Hoover, AL 35216
Phone (205) 979-0888

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20095/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1528081353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CRESTWOOD BLVD",
            "address_2": "SUITE 200",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102036",
            "telephone_number": "205-956-0672",
            "fax_number": "205-956-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CRESTWOOD BLVD",
            "address_2": "SUITE 200",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102036",
            "telephone_number": "205-956-0672",
            "fax_number": "205-956-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "11289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irondale, AL

Sources for this page

Verify at the official NPI Registry.