Organization Active NPI

Gill Reynolds-Pridgett

  • Voluntary or Charitable Agency
  • Birmingham, AL
National Provider Identifier
1740611474
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
GILL REYNOLDS-PRIDGETT
Practice address
12 Perimeter Park S
Birmingham, AL 35243-2326
Phone
(866) 559-5735
Fax
(866) 558-2242
NPI assigned
Dec 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Authorized official

Name
Mr. Gill Reynolds-Pridgett, CEO
Title
Executive Director
Phone
(866) 559-5735

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

12 Perimeter Park S
Birmingham, AL 35243-2326

Mailing address

1320 Main St
Columbia, SC 29201-3204
Phone (866) 559-5735

Other names 1

  • Chase Farms Group Crisis Center Doing business as

National Provider Directory

National Provider Directory

Locations

12 Perimeter Park S
Birmingham, AL 35243
Phone (866) 559-5735

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1740611474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 MAIN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013204",
            "telephone_number": "866-559-5735",
            "fax_number": "866-558-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PERIMETER PARK S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432326",
            "telephone_number": "866-559-5735",
            "fax_number": "866-558-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILL REYNOLDS-PRIDGETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS-PRIDGETT",
        "authorized_official_first_name": "GILL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "18665595735",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chase Farms Group Crisis Center",
            "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 Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.