Organization Active NPI

Carraway Internal Medicine Associates PC

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1760432983
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARRAWAY INTERNAL MEDICINE ASSOCIATES PC
Practice address
1201 11TH Ave S
Suite 305
Birmingham, AL 35205-3410
Phone
(205) 939-4939
Fax
(205) 939-4938
NPI assigned
May 10, 2006
Last updated
Feb 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Dr. Beverly L Carraway-Handley, MD
Title
President/Owner
Phone
(205) 939-4939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1201 11TH Ave S
Suite 305
Birmingham, AL 35205-3410

Mailing address

1201 11TH Ave S
Suite 305
Birmingham, AL 35205-3410
Phone (205) 939-4939

Other identifiers 1

IdentifierTypeStateIssuer
529905710MedicaidAL

National Provider Directory

National Provider Directory

Locations

1201 11th Ave S
Ste 305
Birmingham, AL 35205
Phone (205) 939-4939

1528 Carraway Blvd
Ste 801
Birmingham, AL 35234
Phone (205) 502-4100

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1760432983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE S",
            "address_2": "SUITE 305",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053410",
            "telephone_number": "205-939-4939",
            "fax_number": "205-939-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE S",
            "address_2": "SUITE 305",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053410",
            "telephone_number": "205-939-4939",
            "fax_number": "205-939-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRAWAY INTERNAL MEDICINE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "CARRAWAY-HANDLEY",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "205-939-4939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529905710",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 19, 2009; 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.