Active NPI
Livingston Clinic, Inc.
- General Practice Physician
- Livingston, AL
National Provider Identifier
1649548694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 5674
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000005805 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
107 Hospital Dr
Livingston, AL 35470
Phone (205) 392-9656
Interoperability endpoints
- 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.