Organization Active NPI

Vines Medical, PC

  • Family Medicine Physician
  • Hoover, AL
National Provider Identifier
1801629589
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VINES MEDICAL, PC
Practice address
2057 Valleydale Rd Ste 100
Hoover, AL 35244-2707
Phone
(659) 333-8038
Fax
(659) 201-5454
NPI assigned
Aug 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Karen M Vines, MDNPI 1417392010
Title
President and Ceo
Phone
(256) 694-2916

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2057 Valleydale Rd Ste 100
Hoover, AL 35244-2707

Mailing address

2748 Anna Steele LN
Vestavia Hills, AL 35216-4001
Phone (256) 694-2916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250204001353 AL Part B Supplier - Clinic/Group Practice 7315477577 Receives reassigned benefits from 1 practitioner
Practice locations: Hoover, AL

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
01D2319346Vines Medical, PC2057 Valleydale Rd Ste 100, Hoover, AL 35244Certificate of waiverFeb 26, 2027

National Provider Directory

National Provider Directory

Locations

2057 Valleydale Rd
Ste 100
Hoover, AL 35244
Phone (659) 333-8038

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": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1801629589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 ANNA STEELE LN",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352164001",
            "telephone_number": "256-694-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 VALLEYDALE RD STE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442707",
            "telephone_number": "659-333-8038",
            "fax_number": "659-201-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINES MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "VINES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "256-694-2916",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.