Organization Active NPI

Christ Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Birmingham, AL
National Provider Identifier
1730987280
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CHRIST HEALTH CENTER INC
Practice address
628 Joseph Hollis Dr Ste 300
Birmingham, AL 35215-8409
Phone
(205) 380-9455
NPI assigned
Mar 3, 2025
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Elizabeth Livesay
Title
Cfo
Phone
(205) 946-0891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

628 Joseph Hollis Dr Ste 300
Birmingham, AL 35215-8409

Mailing address

5720 1St Ave S
Birmingham, AL 35212-2522

Other names 1

  • Christ Health Pediatrics Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061103000498 AL Part B Supplier - Clinic/Group Practice 9931106986 Receives reassigned benefits from 41 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Center Point, AL; Birmingham, AL
O20250416001402 AL Part A Provider - Federally Qualified Health Center (FQHC) 9931106986 Practice locations: Birmingham, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730987280. Details of each certification follow.

Federally qualified health center certification: CCN 011121

Legal name
CHRIST HEALTH CENTER INC
Doing business as
CHRIST HEALTH PEDIATRICS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 10, 2025
Last certification
Apr 10, 2025
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
628 Joseph Hollis Dr
Ste 300
Birmingham, AL 35215-8409

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Christ Health Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

5720 1st Ave S
Birmingham, AL 35212
Phone (205) 380-9455

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Trailon Johnson Individual Corporate DirectorBoard Member Nov 22, 2024
Robert Hoyt Yoe Individual Corporate DirectorBoard Member Mar 16, 2017
Dilma Carter Individual Corporate DirectorBoard Member Apr 17, 2017
Meghan Pattison Individual Corporate OfficerCco Jan 1, 2023
Barry Howton Individual Corporate DirectorBoard Member Oct 20, 2016
Robert R Record Individual Corporate OfficerCeo Feb 3, 2013
W-2 Managing EmployeeCeo Feb 3, 2013
Cory L Harris Individual Corporate OfficerCoo Jan 1, 2021
Courtney J Winston Individual Corporate DirectorBoard Member Mar 21, 2019
Tarana Billups Individual Corporate DirectorBoard Member Aug 18, 2017
Jenny O Sobera Individual Corporate DirectorBoard Member Feb 17, 2022
William Edward Tarter Individual Corporate DirectorBoard Member Jan 26, 2023
Michael Flink Individual Corporate DirectorBoard Member Nov 16, 2017
William Carter Bryars Individual Corporate DirectorBoard Member Jan 16, 2020
John Oneil Individual Corporate DirectorBoard Member Jan 16, 2020
Ana M Lewis Individual Corporate DirectorBoard Member Aug 17, 2023

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Christ Health Center IncBirmingham, AL, CCN 011012 Federally qualified health center Operational/Managerial Control Oct 25, 2013
Christ Health Center IncCenter Point, AL, CCN 011038 Federally qualified health center Other (100%) Jul 1, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 41

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 41

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1730987280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 1ST AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352122522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 JOSEPH HOLLIS DR STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352158409",
            "telephone_number": "205-380-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIST HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "LIVESAY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-946-0891"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christ Health Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.