NPIMap

Individual provider Active NPI

Shirley Lazenby, MD

  • Emergency Medicine Physician
  • Alexander City, AL
National Provider Identifier
1598839037
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
00018165 Issued in AL
Practice address
3368 Highway 280
Alexander City, AL 35010-3393
Phone
(256) 329-7134
NPI assigned
Nov 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 00018165 AL Primary

Addresses

Primary practice location

3368 Highway 280
Alexander City, AL 35010-3393

Mailing address

861 SW 78TH Ave
100B
Plantation, FL 33324-3273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040729001037 AL Practitioner - General SurgeryPractitioner - General Practice 4688644305 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: General Practice
Education
Baylor College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 749-3411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.26 of 100Reported as group
Quality
78.94
Promoting interoperability
100
Improvement activities
40
Cost
72.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00018165ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The East Alabama Health Care Authority Current Accepting new patients
The East Alabama Health Care Authority CurrentSince Apr 11, 2018 Accepting new patients
The East Alabama Health Care Authority CurrentSince Apr 11, 2018 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Mar 1, 2013 Accepting new patients
American Family Care, LLC CurrentSince Jun 26, 2012 Accepting new patients
American Family Care, LLC CurrentSince Jun 26, 2012 Accepting new patients
American Family Care, LLC Current Accepting new patients

Locations

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

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

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

4800 48th St
Valley, AL 36854
Phone (334) 756-1401

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
  • FHIR API: https://fhir-myrecord.cerner.com/r4/c5013bf3-ebba-4bda-8574-ed83da9e1633/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598839037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 SW 78TH AVE",
            "address_2": "100B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 HIGHWAY 280",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103393",
            "telephone_number": "256-329-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZENBY",
        "first_name": "SHIRLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00018165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

Verify at the official NPI Registry.