NPIMap

Organization Active NPI

The Children's Hospital of Alabama

Doing business as Over The Mountain Pediatrics

  • Pediatrics Physician
  • Birmingham, AL
National Provider Identifier
1700963345
Registry record updated Sep 8, 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
Over The Mountain Pediatrics
Practice address
3300 Cahaba Rd
Suite 102
Birmingham, AL 35223-2623
Phone
(205) 870-7292
Fax
(205) 870-3639
NPI assigned
Nov 1, 2006
Last updated
Sep 8, 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 8, 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 Physician 208000000X NU Primary

Addresses

Primary practice location

3300 Cahaba Rd
Suite 102
Birmingham, AL 35223-2623

Mailing address

3300 Cahaba Rd
Suite 102
Birmingham, AL 35223-2623
Phone (205) 870-7292

Other names 1

  • Over The Mountain Pediatrics 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
01D0301383Over the Mountain Pediatrics3300 Cahaba Road 102, Birmingham, AL 35223AccreditationMar 7, 2027

National Provider Directory

National Provider Directory
Part of
The Children's Hosptial of Alabama

Locations

3300 Cahaba Rd
Ste 102
Birmingham, AL 35223
Phone (205) 870-7292

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1700963345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 CAHABA RD",
            "address_2": "SUITE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232623",
            "telephone_number": "205-870-7292",
            "fax_number": "205-870-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 CAHABA RD",
            "address_2": "SUITE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232623",
            "telephone_number": "205-870-7292",
            "fax_number": "205-870-3639"
        }
    ],
    "practiceLocations": [],
    "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": "2006-11-01",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "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": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Over The Mountain Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Over The Mountain Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.