Organization Active NPI

The Surgeons' Group, PC

  • Surgery Physician
  • Birmingham, AL
National Provider Identifier
1568428969
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
8477 Issued in AL
Legal business name
THE SURGEONS' GROUP, PC
Practice address
917 Tuscaloosa Ave SW
Birmingham, AL 35211-1618
Phone
(205) 780-7150
Fax
(205) 783-9326
NPI assigned
Apr 25, 2006
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
John Louis Mathews, M.D.NPI 1689630188
Title
President
Phone
(205) 780-7150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 8477 AL Primary

Addresses

Primary practice location

917 Tuscaloosa Ave SW
Birmingham, AL 35211-1618

Mailing address

917 Tuscaloosa Ave SW
Birmingham, AL 35211-1618
Phone (205) 780-7150

Other identifiers 3

IdentifierTypeStateIssuer
000010325MedicaidAL
51010325OtherALBC/BS
528200810MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040823001236 AL Part B Supplier - Clinic/Group Practice 9739153057 Receives reassigned benefits from 3 practitioners
Practice locations: Birmingham, AL; Gardendale, AL

National Provider Directory

National Provider Directory

Locations

917 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 780-7150

430 Fieldstown Rd
Gardendale, AL 35071
Phone (205) 518-8849

5201 Princeton Way
Ste 701
Hoover, AL 35226
Phone (205) 682-6077

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1568428969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 TUSCALOOSA AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111618",
            "telephone_number": "205-780-7150",
            "fax_number": "205-783-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 TUSCALOOSA AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111618",
            "telephone_number": "205-780-7150",
            "fax_number": "205-783-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SURGEONS' GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-780-7150",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "8477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000010325",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "51010325",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528200810",
            "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 Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.