Iatria General Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IATRIA GENERAL MEDICINE, LLC

Practice address

48 Medical Park Dr E Ste 150
Birmingham, AL 35235-3456

Phone

(205) 999-6456

NPI assigned

Mar 29, 2025

Organization subpart

No

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

Authorized official

Name

Dr. James William Custis Jr., MDNPI 1588688873

Title

Ceo

Phone

(205) 999-6456

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James William Custis Jr., MD

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1588688873

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Krissy R Custis, CRNP

  • Acute Care Nurse Practitioner
  • Birmingham, AL
  • NPI 1912339615
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743206400000",
    "number": "1629871223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E STE 150",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E STE 150",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353456",
            "telephone_number": "205-999-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IATRIA GENERAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A",
        "authorized_official_last_name": "CUSTIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-999-6456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joseph Michael Iacobucci, RN, MSN
• Meghan Iadevaia
• Alex Torres Iannone, DO
• Rebecca Bernheim Iannuzzi, DPT
• Lujayne Ibrahim
• Mohamed Khaled Ibrahim, M.B.B.CH
• Saad Mohammad Ibrahim
• Icare Eyecare, LLC
• Icona Health LLC

• Family Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.