Active NPI
Central Alabama Vein & Aesthetics LLC
- Phlebology Physician
- Jasper, AL
National Provider Identifier
1780399832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- Legal business name
- CENTRAL ALABAMA VEIN & AESTHETICS LLC
- Practice address
- 1450 Jones Dairy Rd Ste 400
Jasper, AL 35501-6109 - Phone
- (205) 737-0307
- NPI assigned
- Jan 23, 2023
- 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
- Dr. Michael Solomon, MD
- Title
- Director
- Phone
- (205) 737-0307
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | Primary | ||
| Family Medicine Physician | 207Q00000X | |||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X |
Addresses
Primary practice location
1450 Jones Dairy Rd Ste 400
Jasper, AL 35501-6109
Mailing address
2100 Southbridge Pkwy Ste 650
Birmingham, AL 35209-1317
Phone (205) 737-0307
Other practice location 1
117 2nd Ave SE
Cullman, AL 35055-3511
Phone (205) 737-0307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1450 Jones Dairy Rd
Ste 400
Jasper, AL 35501
Phone (205) 221-0562
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680652800000",
"number": "1780399832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 SOUTHBRIDGE PKWY STE 650",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352091317",
"telephone_number": "205-737-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 JONES DAIRY RD STE 400",
"city": "JASPER",
"state": "AL",
"postal_code": "355016109",
"telephone_number": "205-737-0307"
}
],
"practiceLocations": [
{
"address_1": "117 2nd Ave SE",
"address_purpose": "LOCATION",
"city": "Cullman",
"state": "AL",
"postal_code": "350553511",
"country_code": "US",
"telephone_number": "205-737-0307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CENTRAL ALABAMA VEIN & AESTHETICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-23",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A",
"authorized_official_last_name": "SOLOMON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "205-737-0307",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Phlebology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.