Active NPI
Christ Health Center Inc
- Federally Qualified Health Center (FQHC)
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- 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, 2025
- 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
- Elizabeth Livesay
- Title
- Cfo
- Phone
- (205) 946-0891
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Other
- 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).
-
- Federally Qualified Health Center (FQHC)
- Birmingham, AL
- NPI 1043023997
9931106986
-
- Federally Qualified Health Center (FQHC)
- Center Point, AL
- NPI 1194252700
9931106986
-
- Federally Qualified Health Center (FQHC)
- Birmingham, AL
- NPI 1417426701
9931106986
-
- Federally Qualified Health Center (FQHC)
- Birmingham, AL
- NPI 1821234246
9931106986
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Center Point, AL
- NPI 1194252700
O20061103000498
-
- Federally Qualified Health Center (FQHC)
- Birmingham, AL
- NPI 1417426701
O20061103000498
-
- Federally Qualified Health Center (FQHC)
- Birmingham, AL
- NPI 1821234246
O20061103000498
National Provider Directory
National Provider Directory- Tax ID family
- Christ Health Center Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Birmingham, AL
- NPI 1043023997
-
- Federally Qualified Health Center (FQHC)
- Center Point, AL
- NPI 1194252700
-
- Federally Qualified Health Center (FQHC)
- Birmingham, AL
- NPI 1285366302
-
- Community/Retail Pharmacy
- Birmingham, AL
- NPI 1679806798
-
dba Christ Health Center
- Federally Qualified Health Center (FQHC)
- Birmingham, AL
- NPI 1851215883
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Trailon Johnson | Corporate Director | Nov 22, 2024 | |
| Robert Hoyt Yoe | Corporate Director | Mar 16, 2017 | |
| Dilma Carter | Corporate Director | Apr 17, 2017 | |
| Meghan Pattison | Corporate Officer | Jan 1, 2023 | |
| Barry Howton | Corporate Director | Oct 20, 2016 | |
| Robert R Record | Corporate Officer | Feb 3, 2013 | |
| W-2 Managing Employee | Feb 3, 2013 | ||
| Cory L Harris | Corporate Officer | Jan 1, 2021 | |
| Courtney J Winston | Corporate Director | Mar 21, 2019 | |
| Tarana Billups | Corporate Director | Aug 18, 2017 | |
| Jenny O Sobera | Corporate Director | Feb 17, 2022 | |
| William Edward Tarter | Corporate Director | Jan 26, 2023 | |
| Michael Flink | Corporate Director | Nov 16, 2017 | |
| William Carter Bryars | Corporate Director | Jan 16, 2020 | |
| John Oneil | Corporate Director | Jan 16, 2020 | |
| Ana M Lewis | Corporate Director | 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.
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1134177884
Corporate Officer, W-2 Managing Employee
-
- Interventional Cardiology Physician
- Birmingham, AL
- NPI 1326206632
Corporate Director
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Christ Health Center Inc | Federally qualified health center | Operational/Managerial Control | Oct 25, 2013 |
| Christ Health Center Inc | 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.
-
- Federally Qualified Health Center (FQHC)
- Center Point, AL
- NPI 1194252700
Other
-
- Federally Qualified Health Center (FQHC)
- Birmingham, AL
- NPI 1821234246
Operational/Managerial Control
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Birmingham, AL
- NPI 1720953342
-
- Dentist
- Millbrook, AL
- NPI 1871070953
-
- Family Medicine Physician
- Center Point, AL
- NPI 1548821689
-
- Family Medicine Physician
- Center Point, AL
- NPI 1780178269
-
- Psychiatry Physician
- Birmingham, AL
- NPI 1861447815
-
- Nurse Practitioner
- Birmingham, AL
- NPI 1306312400
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1144485350
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1659528743
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1457368961
-
- Pediatric Nurse Practitioner
- Birmingham, AL
- NPI 1205558822
-
- Physician Assistant
- Birmingham, AL
- NPI 1467194753
-
- Nurse Practitioner
- Birmingham, AL
- NPI 1760853303
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.