Individual provider Active NPI

Pamela Trantham, M.D.

  • Family Medicine Physician
  • Troy, AL
National Provider Identifier
1629141643
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12695 Issued in AL
Practice address
801 S Franklin Dr
Troy, AL 36081-3838
Phone
(334) 566-9800
Fax
(334) 566-3700
NPI assigned
Nov 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
Family Medicine Physician 207Q00000X 12695 AL Primary

Addresses

Primary practice location

801 S Franklin Dr
Troy, AL 36081-3838

Mailing address

801 S Franklin Dr
Troy, AL 36081-3838
Phone (334) 566-9800

Other identifiers 2

IdentifierTypeStateIssuer
51046153OtherALBLUECROSS
000046153MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110413000785 AL Practitioner - Family Practice 8527242650 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Health Associates LLC Family Medicine CurrentSince Oct 1, 1999 Accepting new patients

Locations

801 S Franklin Dr
Troy, AL 36081
Phone (334) 566-9800

Interoperability endpoints

  • Direct secure messaging: clinical@sha.directbygreenway.com
  • FHIR API: https://api.platform.athenahealth.com/19802/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629141643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S FRANKLIN DR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813838",
            "telephone_number": "334-566-9800",
            "fax_number": "334-566-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S FRANKLIN DR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813838",
            "telephone_number": "334-566-9800",
            "fax_number": "334-566-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANTHAM",
        "first_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "12695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "51046153",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000046153",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

Verify at the official NPI Registry.