Active NPI
Gill Reynolds-Pridgett
- Voluntary or Charitable Agency
- Birmingham, AL
National Provider Identifier
1740611474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.