Active NPI
Forrest Health System
Doing business as Forrest General Hospital
- Nutrition Support Registered Nurse
- Birmingham, AL
National Provider Identifier
1619567203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Registered Nurse
- Legal business name
- FORREST HEALTH SYSTEM
- Doing business as
- Forrest General Hospital
- Practice address
- 513 Brookwood Blvd Ste 506
Birmingham, AL 35209-6892 - Phone
- (877) 977-0557
- NPI assigned
- Jan 19, 2021
- Last updated
- Nov 11, 2025
- Organization subpart
- Yes
- Parent organization
- MERIT HEALTH WESLEY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prof. Christen Paul Daniels, DO RN
- Title
- Primary Physician
- Phone
- (601) 288-7000
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Support Registered Nurse | 163WN1003X | Primary | ||
| Local Education Agency (LEA) | 251300000X | |||
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| PACE Provider Organization | 251T00000X | |||
| Voluntary or Charitable Agency | 251V00000X | |||
| Federal Public Health Clinic/Center | 261QP0904X | |||
| Student Health Clinic/Center | 261QS1000X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Physiological Laboratory | 293D00000X | |||
| Point of Service | 305S00000X | |||
| Pediatric Skilled Nursing Facility | 3140N1450X | |||
| Pharmacy | 333600000X | |||
| Mail Order Pharmacy | 3336M0002X | |||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
513 Brookwood Blvd Ste 506
Birmingham, AL 35209-6892
Mailing address
6501 U S Highway 49
Hattiesburg, MS 39401-3006
Phone (601) 288-7000
Other practice location 1
6501 U S Highway 49
Hattiesburg, MS 39401-3006
Phone (601) 288-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 851575 | Other | MS | HEALTHCARE PROVIDER |
| MS41120 | Other | MS | STATE MEDICAL LICENSE |
Other names 1
- Forrest General Hospital
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/9778/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Other Specialist/Technologist
- Hattiesburg, MS
- NPI 1326510751
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762819200000",
"number": "1619567203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 U S HIGHWAY 49",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394013006",
"telephone_number": "601-288-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 BROOKWOOD BLVD STE 506",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096892",
"telephone_number": "877-977-0557"
}
],
"practiceLocations": [
{
"address_1": "6501 U S Highway 49",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394013006",
"country_code": "US",
"telephone_number": "601-288-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FORREST HEALTH SYSTEM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MERIT HEALTH WESLEY",
"enumeration_date": "2021-01-19",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A",
"authorized_official_last_name": "DANIELS",
"authorized_official_first_name": "CHRISTEN",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PRIMARY PHYSICIAN",
"authorized_official_telephone_number": "601-288-7000",
"authorized_official_name_prefix": "Prof.",
"authorized_official_credential": "DO RN"
},
"taxonomies": [
{
"code": "163WN1003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Nutrition Support",
"state": null,
"license": null,
"primary": true
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP0904X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, Federal",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE PROVIDER",
"identifier": "851575",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "MS41120",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Forrest General Hospital",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Forrest General Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.