Active NPI
Freddy B Dillard Jr., PA-C
- Physician Assistant
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.1313
- Practice address
- 701 Princeton Ave SW
Birmingham, AL 35211-1303 - Phone
- (205) 977-1949
- Fax
- (412) 822-7411
- NPI assigned
- Mar 28, 2018
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.1313 | AL | Primary |
Addresses
Primary practice location
701 Princeton Ave SW
Birmingham, AL 35211-1303
Mailing address
801 Princeton Ave SW Ste 707
Birmingham, AL 35211-1395
Phone (205) 780-4330
Other practice location 1
801 Princeton Ave SW Ste 707
Birmingham, AL 35211-1395
Phone (205) 780-4330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180910000326 | AL | Practitioner - Physician Assistant | 0042560294 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cardiology , PC
Practice addresses (Care Compare)
801 Princeton Ave SW
Suite 707
Birmingham, AL 35211-1309
Phone (205) 780-4330
Hospital & facility affiliations
- Princeton Baptist Medical Center
- Walker Baptist Medical Center
- Whitfield Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology , PC | Current | Accepting new patients | |
| Nephrology Medical Associates of Georgia LLC | Past | Accepting new patients |
Locations
1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100
701 Princeton Ave SW
Ste Crs
Birmingham, AL 35211
801 Princeton Ave SW
Ste 707
Birmingham, AL 35211
Phone (205) 780-4330
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
Organizations & group practices 2
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.
-
- Nephrology Physician
- Hermiston, OR
- NPI 1093775645
Hospital & facility affiliations 3
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": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790280147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 PRINCETON AVE SW STE 707",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111395",
"telephone_number": "205-780-4330",
"fax_number": "205-780-7775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PRINCETON AVE SW",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111303",
"telephone_number": "205-977-1949",
"fax_number": "412-822-7411"
}
],
"practiceLocations": [
{
"address_1": "801 Princeton Ave SW Ste 707",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352111395",
"country_code": "US",
"telephone_number": "205-780-4330",
"fax_number": "205-780-7775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DILLARD",
"first_name": "FREDDY",
"middle_name": "B",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-28",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA.1313",
"primary": true
}
],
"identifiers": [],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.