Active NPI
Tuscaloosa Medcenter South, LLC
- Family Medicine Physician
- Tuscaloosa, AL
National Provider Identifier
1689689481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TUSCALOOSA MEDCENTER SOUTH, LLC
- Practice address
- 5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698 - Phone
- (205) 343-2225
- Fax
- (205) 343-2230
- NPI assigned
- Jul 30, 2006
- Last updated
- Jan 23, 2026
- 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
- Beth Kohn
- Title
- Credentialing Specialist
- Phone
- (912) 756-2273
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698
Mailing address
5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698
Phone (205) 343-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0995435 | Tuscaloosa Medcenter South | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 52
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.
-
- Family Nurse Practitioner
- Northport, AL
- NPI 1467692459
-
- Family Nurse Practitioner
- Jasper, AL
- NPI 1265825392
-
- Family Nurse Practitioner
- Tuscaloosa, AL
- NPI 1952012833
-
- Family Medicine Physician
- Tuscaloosa, AL
- NPI 1235712597
-
- Family Nurse Practitioner
- Tuscaloosa, AL
- NPI 1053820217
-
- Family Nurse Practitioner
- Tuscaloosa, AL
- NPI 1316327638
-
- Family Medicine Physician
- Northport, AL
- NPI 1164930939
Single Specialty
-
- Family Nurse Practitioner
- Tuscaloosa, AL
- NPI 1699593129
-
- Family Medicine Physician
- Tuscaloosa, AL
- NPI 1235145871
Emergency Medicine
-
- Family Nurse Practitioner
- Tuscaloosa, AL
- NPI 1053950337
-
- Nurse Practitioner
- Tuscaloosa, AL
- NPI 1053841007
-
- Primary Care Nurse Practitioner
- Northport, AL
- NPI 1649007188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769126400000",
"number": "1689689481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 OSCAR BAXTER DR",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354053698",
"telephone_number": "205-343-2225",
"fax_number": "205-343-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 OSCAR BAXTER DR",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354053698",
"telephone_number": "205-343-2225",
"fax_number": "205-343-2230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUSCALOOSA MEDCENTER SOUTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A",
"authorized_official_last_name": "KOHN",
"authorized_official_first_name": "BETH",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "912-756-2273"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
- Tuscaloosa Geriatrics, P.C.
- Tuscaloosa Gynecology Inc
- Tuscaloosa Juvenile Detention Center
- Tuscaloosa Latino Coalition
- Tuscaloosa Lung & Sleep Consultants, PC
- Tuscaloosa Medical Associates
- Tuscaloosa Neonatal PC
- Tuscaloosa Nephrology Associates PC
- Tuscaloosa Newborn Medicine PC
- Tuscaloosa Ophthalmology, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.