M Clagett Collins MD LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

M CLAGETT COLLINS MD LLC

Practice address

1 Lakeshore Drive
Ste 200
Birmingham, AL 35209-7271

Phone

(205) 916-0105

Fax

(205) 916-0913

NPI assigned

Aug 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael Clagett Collins, MD

Title

Owner/Physician

Phone

(205) 541-1358

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacinta Wanjiru Kimani, NP-C

  • Family Nurse Practitioner
  • Vestavia, AL
  • NPI 1962774372
  NPD (past)

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1578810982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661493",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352661493",
            "telephone_number": "205-916-0105",
            "fax_number": "205-916-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAKESHORE DRIVE",
            "address_2": "STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097271",
            "telephone_number": "205-916-0105",
            "fax_number": "205-916-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M CLAGETT COLLINS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CLAGETT",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "205-541-1358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebonee R Lyons, DNP, FNP-BC
• Jonathan Lyons
• Raymond K Lyrene, M.D.
• Travis Benjamin Lysaght
• M and O Enterprises, LLC
• M Scott Touger MD PC
• M. Austin Boyd DMD PC
• M&O Enterprises LLC
• Jared Alexander Maas, MD
• Alexandria Bea Mabry, MD

• Geriatric Medicine (Internal Medicine) Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.