Individual provider Active NPI

Vance G Blackburn, M.D.

  • Family Medicine Physician
  • Hoover, AL
National Provider Identifier
1720068463
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00013452 Issued in AL
Practice address
2520 Valleydale Rd
Hoover, AL 35244-2019
Phone
(205) 980-9944
Fax
(205) 980-9844
NPI assigned
Jan 19, 2006
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00013452 AL Primary

Addresses

Primary practice location

2520 Valleydale Rd
Hoover, AL 35244-2019

Mailing address

2520 Valleydale Rd
Hoover, AL 35244-2019
Phone (205) 980-9944

Other identifiers 2

IdentifierTypeStateIssuer
529700260MedicaidAL
631156033OtherALTAX ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825000156 AL Practitioner - Family Practice 7810994290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physician Services, LLCGroup PAC ID 4385651751, 92 clinicians
North Shelby Family HealthGroup PAC ID 4981623006, 3 clinicians

Practice addresses (Care Compare)

2520 Valleydale Rd
Hoover, AL 35244-2019
Phone (205) 980-9944

5890 Valley Rd
Suite 200
Birmingham, AL 35235-8669
Phone (205) 655-7600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of skin lesions12
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00013452ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shelby Family Health Family Medicine CurrentSince Nov 2, 1995 Accepting new patients
Affinity Physician Services LLC CurrentSince Nov 5, 2025 Accepting new patients
Southern Medical Group, Inc Past Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

5890 Valley Rd
Ste 200
Birmingham, AL 35235
Phone (205) 655-7600

2520 Valleydale Rd
Hoover, AL 35244
Phone (205) 980-9944

Interoperability endpoints

  • Direct secure messaging: vance.blackburn.1@9954.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1720068463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 VALLEYDALE RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442019",
            "telephone_number": "205-980-9944",
            "fax_number": "205-980-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 VALLEYDALE RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442019",
            "telephone_number": "205-980-9944",
            "fax_number": "205-980-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "VANCE",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00013452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529700260",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "631156033",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.