Individual provider Active NPI

Zoran Pavicevic

  • Epilepsy Physician
  • Montgomery, AL
National Provider Identifier
1730063264
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
License
F10241080 Issued in AL
Practice address
1315 Mulberry St
Montgomery, AL 36106-1132
Phone
(334) 262-1113
Fax
(877) 836-7673
NPI assigned
Aug 5, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 1891829073 AL
Epilepsy Physician 2084E0001X F10241080 AL Primary

Addresses

Primary practice location

1315 Mulberry St
Montgomery, AL 36106-1132

Mailing address

1315 Mulberry St
Montgomery, AL 36106-1132
Phone (334) 262-1113

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023001446 AL Practitioner - Nurse Practitioner 1052809860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern NP Associates LLCGroup PAC ID 1557686243, 52 clinicians

Practice addresses (Care Compare)

1825 Holtville Rd
Wetumpka, AL 36092-8211
Phone (205) 343-7300

Hospital & facility affiliations

  • Elmore Community Hospital Hospital, Wetumpka, AL, CCN 010097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F10241080ALMDEpilepsy Physician
1891829073ALMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern NP Associates, LLC Single Specialty CurrentSince Aug 10, 2025 Accepting new patients
Neurological Care Center of Montgomery PC Single Specialty PastSince Aug 10, 2025 Accepting new patients

Locations

22969 Highway 25
Columbiana, AL 35051
Phone (205) 669-1712

931 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 343-7301

1825 Holtville Rd
Wetumpka, AL 36092
Phone (334) 567-0322

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1730063264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 MULBERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061132",
            "telephone_number": "334-262-1113",
            "fax_number": "877-836-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 MULBERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061132",
            "telephone_number": "334-262-1113",
            "fax_number": "877-836-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVICEVIC",
        "first_name": "ZORAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "1891829073",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "AL",
            "license": "F10241080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.