Individual provider Active NPI

Lacey Pody, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1629581517
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-129482 Issued in AL
Practice address
48 Medical Park Dr E Ste 159
Birmingham, AL 35235
Phone
(205) 838-3349
Fax
(205) 838-3451
NPI assigned
Nov 14, 2017
Last updated
Feb 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-129482 AL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-129482 AL Primary
Psychiatry Physician 2084P0800X 1-129482 AL

Addresses

Primary practice location

48 Medical Park Dr E Ste 159
Birmingham, AL 35235

Mailing address

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 558-3484

Other practice location 1

1972 Garden Dr
Sylacauga, AL 35150-8094
Phone (256) 872-0041

Other practice location 2

1972 Garden Dr
Sylacauga, AL 35150-8094
Phone (256) 872-0041

Other practice location 3

1870 Chace Dr Ste 160
Hoover, AL 35244-7104
Phone (205) 733-7110

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180620001643 AL Practitioner - Nurse Practitioner 9739434473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grayson and Associates PCGroup PAC ID 9032108253, 65 clinicians

Practice addresses (Care Compare)

2200 Lakeshore Dr
Suite 150
Birmingham, AL 35209-8832
Phone (205) 871-6923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-129482ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grayson and Associates PC Psychiatry CurrentSince Jan 1, 2018 Accepting new patients
SVPS Psychiatric Services LLC Psychiatry Past Accepting new patients
Vincentian Physician Services LLC PastSince Aug 1, 2012 Accepting new patients

Locations

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

2200 Lakeshore Dr
Ste 150
Homewood, AL 35209
Phone (205) 397-4774

100 Concourse Pkwy
Ste 101
Hoover, AL 35244
Phone (205) 444-0420

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, 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": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1629581517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SAINT VINCENTS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051601",
            "telephone_number": "205-558-3484",
            "fax_number": "205-930-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E STE 159",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35235",
            "telephone_number": "205-838-3349",
            "fax_number": "205-838-3451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1972 Garden Dr",
            "address_purpose": "LOCATION",
            "city": "Sylacauga",
            "state": "AL",
            "postal_code": "351508094",
            "country_code": "US",
            "telephone_number": "256-872-0041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1972 Garden Dr",
            "address_purpose": "LOCATION",
            "city": "Sylacauga",
            "state": "AL",
            "postal_code": "351508094",
            "country_code": "US",
            "telephone_number": "256-872-0041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1870 Chace Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352447104",
            "country_code": "US",
            "telephone_number": "205-733-7110",
            "fax_number": "205-733-7859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODY",
        "first_name": "LACEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-129482",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-129482",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "1-129482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.