Magnolia Pediatrics South Inc

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

MAGNOLIA PEDIATRICS SOUTH INC

Practice address

1621 11TH Ave S
Birmingham, AL 35205-4703

Phone

(205) 930-9500

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul AmamooNPI 1871565952

Title

Sect-Treasurer

Phone

(205) 930-9500

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Amartey Amamoo, MD

  • Pediatric Adolescent Medicine Physician
  • Birmingham, AL
  • NPI 1871565952
  NPD (past) Authorized official
• Jacqueline W. Stewart, M.D.

  • Pediatrics Physician
  • Birmingham, AL
  • NPI 1619949146
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760442164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 11TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 11TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054703",
            "telephone_number": "205-930-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA PEDIATRICS SOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMAMOO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SECT-TREASURER",
        "authorized_official_telephone_number": "205-930-9500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magic City Nutrition Counseling
• Magic City Physical Therapy
• Magnolia Counseling & Consulting LLC
• Magnolia Health Associates, P.C.
• Magnolia Leaf Inc
• Lexa Lucille Magnus, M.A.
• Robert Magnuson, LICSW
• Tylan Wayne Magnusson, MD
• Magomed Magomedov, DDS
• Teresa G Magruder, M.D.

• Pediatric Adolescent Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pediatric Adolescent Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.