Individual provider Active NPI

Benjamin A. Davidson, M.D.

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1629228887
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31030 Issued in AL
Practice address
3209 Ensley 5 Points W Ave
Birmingham, AL 35208-2715
Phone
(659) 903-4344
Fax
(659) 903-5944
NPI assigned
Sep 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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 31030 AL Primary

Addresses

Primary practice location

3209 Ensley 5 Points W Ave
Birmingham, AL 35208-2715

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

Other practice location 1

4614 Carnegie Ave
Fairfield, AL 35064-1430
Phone (205) 785-1353

Other identifiers 2

IdentifierTypeStateIssuer
1629228887MedicaidAL
511-16445OtherALBLUECROSS BLUESHIELD

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
I20110822000258 AL Practitioner - Family Practice 7810167293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Archwell Health Professional Services of Alabama, LLCGroup PAC ID 1254735277, 8 clinicians

Practice addresses (Care Compare)

3209 Ensley 5 Points W Ave
Birmingham, AL 35208-2715
Phone (659) 903-4344

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31030ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation CurrentSince Oct 6, 2022 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Oct 6, 2022 Accepting new patients
Archwell Health Professional Services of Alabama, LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

3209 Ensley 5 Points W Ave
Birmingham, AL 35208
Phone (205) 786-3455

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

4614 Carnegie Ave
Fairfield, AL 35064
Phone (205) 785-1353

165 Bessemer Super Hwy
Midfield, AL 35228
Phone (205) 336-1534

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: benjamin.davidson.1@11347.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1629228887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 ENSLEY 5 POINTS W AVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352082715",
            "telephone_number": "659-903-4344",
            "fax_number": "659-903-5944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4614 Carnegie Ave",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "AL",
            "postal_code": "350641430",
            "country_code": "US",
            "telephone_number": "205-785-1353",
            "fax_number": "205-785-3731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "BENJAMIN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "31030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629228887",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "511-16445",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.