Individual provider Active NPI

Charlotte Margot Prejean, M.D.

  • Pediatrics Physician
  • Bessemer, AL
National Provider Identifier
1558453050
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24138 Issued in AL
Practice address
4730 Bell Hill Rd
Bessemer, AL 35022-6947
Phone
(205) 426-3010
Fax
(205) 481-9034
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 24138 AL Primary

Addresses

Primary practice location

4730 Bell Hill Rd
Bessemer, AL 35022-6947

Mailing address

4730 Bell Hill Rd
Bessemer, AL 35022-6947
Phone (205) 426-3010

Other identifiers 6

IdentifierTypeStateIssuer
48700OtherHEALTHSPRINGS OF ALABAMA
173895MedicaidAL
511-62692OtherALBLUE CROSS
009962720MedicaidAL
12-00156OtherUNITED HEALTHCARE
515-03594OtherALBLUE CROSS BLUE SHIELD

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

LicenseStateTypeSpecialty
24138ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Children'S Hospital of Alabama Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cprejean22068@childrensofalabama.direct-ci.com

Organizations & group practices 1

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1558453050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 BELL HILL RD",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226947",
            "telephone_number": "205-426-3010",
            "fax_number": "205-481-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 BELL HILL RD",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226947",
            "telephone_number": "205-426-3010",
            "fax_number": "205-481-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREJEAN",
        "first_name": "CHARLOTTE",
        "middle_name": "MARGOT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "24138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRINGS OF ALABAMA",
            "identifier": "48700",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173895",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "511-62692",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009962720",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "12-00156",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "515-03594",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.