Organization Active NPI

Livingston Clinic, Inc.

  • General Practice Physician
  • Livingston, AL
National Provider Identifier
1649548694
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5674 Issued in AL
Legal business name
LIVINGSTON CLINIC, INC.
Practice address
107 Hospital Dr
PO Drawer T
Livingston, AL 35470-5742
Phone
(205) 652-2686
Fax
(205) 652-7093
NPI assigned
Dec 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Dr. William Russ Simpkins, M.D.
Title
President
Phone
(205) 652-2686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 5674 AL Primary

Addresses

Primary practice location

107 Hospital Dr
PO Drawer T
Livingston, AL 35470-5742

Mailing address

107 Hospital Dr
PO Drawer T
Livingston, AL 35470-5742
Phone (205) 652-2686

Other identifiers 1

IdentifierTypeStateIssuer
000005805MedicaidAL

National Provider Directory

National Provider Directory

Locations

107 Hospital Dr
Livingston, AL 35470
Phone (205) 392-9656

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIHIBA

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1649548694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HOSPITAL DR",
            "address_2": "PO DRAWER T",
            "city": "LIVINGSTON",
            "state": "AL",
            "postal_code": "354705742",
            "telephone_number": "205-652-2686",
            "fax_number": "205-652-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HOSPITAL DR",
            "address_2": "PO DRAWER T",
            "city": "LIVINGSTON",
            "state": "AL",
            "postal_code": "354705742",
            "telephone_number": "205-652-2686",
            "fax_number": "205-652-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "SIMPKINS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RUSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-652-2686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AL",
            "license": "5674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000005805",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.