NPIMap

Organization Active NPI

The Children's Hospital of Alabama

Doing business as Pediatrics East

  • Pediatrics Physician
  • Trussville, AL
National Provider Identifier
1679593107
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
THE CHILDREN'S HOSPITAL OF ALABAMA
Doing business as
Pediatrics East
Practice address
520 Simmons Dr
Trussville, AL 35173-2367
Phone
(205) 836-8691
Fax
(205) 212-7102
NPI assigned
Jul 20, 2006
Last updated
Sep 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
THE CHILDREN'S HOSPITAL OF ALABAMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Dawn Walton
Title
Cfo
Phone
(205) 638-9901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

520 Simmons Dr
Trussville, AL 35173-2367

Mailing address

520 Simmons Dr
Trussville, AL 35173-2367
Phone (205) 836-8691

Other practice location 1

6729 Deerfoot Pkwy
Pinson, AL 35126-3093
Phone (205) 681-5377

Other names 1

  • Pediatrics East Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0675077Pediatrics East - Trussville520 Simmons Drive, Trussville, AL 35173AccreditationJan 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hospafter Hour20 organizations share this tax ID, including this one
Part of
Childrens Hospafter Hour

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

1090 9th Ave SW
Ste 100
Bessemer, AL 35022
Phone (205) 481-1886

6729 Deerfoot Pkwy
Pinson, AL 35126
Phone (205) 681-5377

520 Simmons Dr
Trussville, AL 35173
Phone (205) 836-8691

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1679593107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SIMMONS DR",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732367",
            "telephone_number": "205-836-8691",
            "fax_number": "205-212-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SIMMONS DR",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732367",
            "telephone_number": "205-836-8691",
            "fax_number": "205-212-7102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6729 Deerfoot Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pinson",
            "state": "AL",
            "postal_code": "351263093",
            "country_code": "US",
            "telephone_number": "205-681-5377",
            "fax_number": "205-212-7102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE CHILDREN'S HOSPITAL OF ALABAMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHILDREN'S HOSPITAL OF ALABAMA",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-638-9901"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrics East",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatrics East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trussville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.