NPIMap

Organization Active NPI

Neurology and Neurodiagnostics of Alabama, LLC

  • Specialist
  • Hoover, AL
National Provider Identifier
1750577706
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEUROLOGY AND NEURODIAGNOSTICS OF ALABAMA, LLC
Practice address
1000 Southlake Park
Ste 200
Hoover, AL 35244-5700
Phone
(205) 699-1632
Fax
(866) 546-2124
NPI assigned
Sep 22, 2007
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Jacki Bailey
Title
Administrator
Phone
(205) 699-1632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1000 Southlake Park
Ste 200
Hoover, AL 35244-5700

Mailing address

1000 Southlake Park
Suite 200
Hoover, AL 35244-5700
Phone (205) 621-4799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080122000449 AL Part B Supplier - Clinic/Group Practice 3870674377 Receives reassigned benefits from 11 practitioners
Practice locations: Hoover, AL

National Provider Directory

National Provider Directory

Locations

1022 1st St N
Ste 400B
Alabaster, AL 35007
Phone (205) 621-4799

1000 Southlake Park
#200
Hoover, AL 35244
Phone (205) 536-8736

1923 Courson Ct
Ste 200
Leeds, AL 35094

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1190419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1750577706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SOUTHLAKE PARK",
            "address_2": "SUITE 200",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352445700",
            "telephone_number": "205-621-4799",
            "fax_number": "866-546-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SOUTHLAKE PARK",
            "address_2": "STE 200",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352445700",
            "telephone_number": "205-699-1632",
            "fax_number": "866-546-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY AND NEURODIAGNOSTICS OF ALABAMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-22",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JACKI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-699-1632"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.