NPIMap

Organization Active NPI

Alabama Regional Medical Services

Doing business as ARMS Northern Health Center

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1760956148
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALABAMA REGIONAL MEDICAL SERVICES
Doing business as
ARMS Northern Health Center
Practice address
2817 30TH Ave N
Birmingham, AL 35207-4541
Phone
(205) 407-5600
NPI assigned
Jan 18, 2019
Last updated
Jan 18, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ALABAMA REGIONAL MEDICAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Anthony Gardner
Title
Ceo
Phone
(205) 407-5506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2817 30TH Ave N
Birmingham, AL 35207-4541

Mailing address

PO Box 11526
Birmingham, AL 35202-1526
Phone (205) 407-5600

Other names 1

  • ARMS Northern Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040109000953 AL Part B Supplier - Clinic/Group Practice 7315856341 Receives reassigned benefits from 25 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Birmingham, AL; Irondale, AL
O20190328001410 AL Part A Provider - Federally Qualified Health Center (FQHC) 7315856341 Practice locations: Birmingham, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760956148. Details of each certification follow.

Federally qualified health center certification: CCN 011053

Legal name
ALABAMA REGIONAL MEDICAL SERVICES
Doing business as
ARMS NORTHERN HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 28, 2019
Last certification
Feb 28, 2019
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Enrollment address
2817 30TH Ave N
Birmingham, AL 35207-4541

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2161840Arms Northern2817 30TH Ave North, Birmingham, AL 35207Provider-performed microscopyFeb 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Alabama Regional Medical Services12 organizations share this tax ID, including this one
Part of
Alabama Regional Medical Services

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cornell Nmi Hall Individual Corporate DirectorChairman, Board of Directors Nov 1, 2012
John Ocampo Individual Corporate DirectorBoard Member Jul 20, 2017
Gabe Hulbert Individual Corporate DirectorBoard Member May 23, 2018
Joni Rogers Individual Corporate DirectorBoard Member Dec 16, 2020
Dwight Williams Individual Corporate Director Feb 17, 2021
Jacquelyn Hardy Individual Corporate DirectorBoard Member Jul 18, 2016
Nanette Allen Individual Corporate OfficerInterim Ceo Feb 21, 2022
Corporate DirectorCoo Nov 28, 2016
W-2 Managing EmployeeCoo Nov 28, 2016
Terry J Burney Individual Corporate DirectorTreasurer, Board of Directors Feb 1, 1990
Damein Baity Individual Corporate DirectorBoard Member Apr 19, 2017
Kenthia L McCleod Individual Corporate DirectorSecretary, Board of Directors Aug 1, 1997
Janice F Chiles Individual Corporate DirectorV. Chairperson, Board of Directors Jul 22, 2015
Joe N Harris Individual Corporate DirectorBoard Member Jan 25, 2012

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1760956148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11526",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352021526",
            "telephone_number": "205-407-5600",
            "fax_number": "205-407-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 30TH AVE N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352074541",
            "telephone_number": "205-407-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA REGIONAL MEDICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALABAMA REGIONAL MEDICAL SERVICES",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-407-5506"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARMS Northern Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.