Individual provider Active NPI

Marie C Pittman, MD

  • Family Medicine Physician
  • Pelham, AL
National Provider Identifier
1780827071
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34254 Issued in AL
Practice address
120 Cahaba Valley Pkwy Ste 203
Pelham, AL 35124-1187
Phone
(205) 985-9828
Fax
(205) 969-0971
NPI assigned
Apr 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47912 TN
Family Medicine Physician 207Q00000X 205815 LA
Family Medicine Physician 207Q00000X 34254 AL Primary

Addresses

Primary practice location

120 Cahaba Valley Pkwy Ste 203
Pelham, AL 35124-1187

Mailing address

30 Racquet Club Pkwy Ste a
Pelham, AL 35124-6185
Phone (205) 971-1620

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marie.pittman.1@9954.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120725001006 TN Practitioner - Family Practice 5496911059 Reassigns benefits to 1 organization
I20151113001491 AL Practitioner - Family Practice 5496911059 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

120 Cahaba Valley Pkwy
Suite 203
Pelham, AL 35124-1187
Phone (205) 235-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34254ALMDFamily Medicine Physician
205815LAMDFamily Medicine Physician
47912TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WT University Medical Associates Inc Family Medicine Current Accepting new patients
American Family Care, LLC Current Accepting new patients
Baptist Health Centers, LLC Current Accepting new patients
American Family Care, LLC Family Medicine CurrentSince May 25, 2016 Accepting new patients
Affinity Physician Services LLC CurrentSince Oct 20, 2021 Accepting new patients
Baptist Health Centers LLC Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
University of Tennessee Family Medicine Current Accepting new patients
American Family Care, LLC CurrentSince May 25, 2016 Accepting new patients
Vincentian Physician Services LLC Family Medicine CurrentSince Aug 22, 2022 Accepting new patients
Baptist Health Centers LLC CurrentSince Aug 1, 2018 Accepting new patients
BW Orthopedic & Sports Medicine Practice LLC Past Accepting new patients
Brookwood Primary Care - Inverness, L.L.C. Family Medicine Past Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

5890 Valley Rd
Ste 200
Birmingham, AL 35235
Phone (205) 655-7600

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

4902 Valleydale Rd
Hoover, AL 35242
Phone (205) 677-5454

1870 Chace Dr
Ste 160
Hoover, AL 35244
Phone (205) 733-7110

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

30 Racquet Club Pkwy
Ste A
Pelham, AL 35124
Phone (205) 620-1090

120 Cahaba Valley Pkwy
Ste 203
Pelham, AL 35124
Phone (205) 235-5800

294 Summar Dr
Jackson, TN 38301
Phone (731) 423-1932

Interoperability endpoints

  • Direct secure messaging: mpittman45629@baptisthealthaldirect.org
  • Direct secure messaging: marie.pittman.1@9069.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1780827071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 RACQUET CLUB PKWY STE A",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351246185",
            "telephone_number": "205-971-1620",
            "fax_number": "205-971-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAHABA VALLEY PKWY STE 203",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241187",
            "telephone_number": "205-985-9828",
            "fax_number": "205-969-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "MARIE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-15",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "47912",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "205815",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "34254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marie.pittman.1@9954.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR DIRECT ADDRESS",
            "address_1": "30 Racquet Club Pkwy Ste A",
            "city": "Pelham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "351246185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

Verify at the official NPI Registry.