Active NPI
Charles A Noyes, PA
- Surgical Physician Assistant
- Birmingham, AL
National Provider Identifier
1780623355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA-84
- Practice address
- 2871 Acton Road
Suite 100
Birmingham, AL 35243-2560 - Phone
- (205) 939-0023
- Fax
- (205) 939-4180
- NPI assigned
- Jun 6, 2006
- Last updated
- May 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA-84 | AL | Primary |
Addresses
Primary practice location
2871 Acton Road
Suite 100
Birmingham, AL 35243-2560
Mailing address
2871 Acton Road
Suite 100
Birmingham, AL 35243-2560
Phone (205) 939-0023
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009932892 | Medicaid | AL | |
| 051515539 | Other | AL | BLUE CROSS - 2660 10TH AV |
| 051512985 | Other | AL | BLUE CROSS - 48 MED PARK |
| 009957575 | Medicaid | AL | |
| 009911345 | Medicaid | AL | |
| 051515113 | Other | AL | BLUE CROSS - 860 MONT RD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwood Clinic Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/25282/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1104879741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1780623355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2871 ACTON ROAD",
"address_2": "SUITE 100",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352432560",
"telephone_number": "205-939-0023",
"fax_number": "205-939-4180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2871 ACTON ROAD",
"address_2": "SUITE 100",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352432560",
"telephone_number": "205-939-0023",
"fax_number": "205-939-4180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOYES",
"first_name": "CHARLES",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AL",
"license": "PA-84",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009932892",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS - 2660 10TH AV",
"identifier": "051515539",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS - 48 MED PARK",
"identifier": "051512985",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009957575",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009911345",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS - 860 MONT RD",
"identifier": "051515113",
"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 May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.