Active NPI
Anne Golden Stafford, M.D.
- Emergency Medicine Physician
- Birmingham, AL
National Provider Identifier
1538271663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD.10569
- Practice address
- 1400 4TH Ave S
Birmingham, AL 35233-1511 - Phone
- (205) 329-7200
- Fax
- (205) 329-7250
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD.10569 | AL | Primary |
| Pediatrics Physician | 208000000X | MD.10569 | AL |
Addresses
Primary practice location
1400 4TH Ave S
Birmingham, AL 35233-1511
Mailing address
1400 4TH Ave S
Birmingham, AL 35233-1511
Phone (205) 329-7200
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163686 | Medicaid | AL | |
| 511-52006 | Other | AL | BCBS |
| 163841 | Medicaid | AL | |
| 51036067 | Other | AL | BCBS |
| 009913990 | Medicaid | AL | |
| 511-52005 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.10569 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Children'S Hospital of Alabama | Pediatrics | Past | Accepting new patients |
| The Children'S Hospital of Alabama | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Birmingham, AL
- NPI 1023113487
-
- Pediatrics Physician
- Hoover, AL
- NPI 1124105762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1538271663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 4TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331511",
"telephone_number": "205-329-7200",
"fax_number": "205-329-7250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 4TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331511",
"telephone_number": "205-329-7200",
"fax_number": "205-329-7250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "ANNE",
"middle_name": "GOLDEN",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "MD.10569",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "MD.10569",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163686",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "511-52006",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163841",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51036067",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009913990",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "511-52005",
"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 Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.