Individual provider Active NPI

Kim Reaves Paisley, M.D.

  • Internal Medicine Physician
  • Calera, AL
National Provider Identifier
1811122138
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32719 Issued in AL
Practice address
206 County Road 304
Calera, AL 35040-6900
Phone
(205) 668-0626
Fax
(205) 668-4564
NPI assigned
May 17, 2009
Last updated
Sep 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 32719 AL Primary
Pediatrics Physician 208000000X 32719 AL

Addresses

Primary practice location

206 County Road 304
Calera, AL 35040-6900

Mailing address

206 County Road 304
Calera, AL 35040-6900
Phone (205) 668-0626

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140128000442 AL Practitioner - Internal Medicine 3375783459 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Alabama College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians

Practice addresses (Care Compare)

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 939-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32719ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Apr 9, 2018 Accepting new patients
Hospitalists Services of Alabama, LLC Internal Medicine CurrentSince Jan 26, 2019 Accepting new patients
Concentric Hospitalist Group PC Internal Medicine CurrentSince Sep 15, 2021 Accepting new patients
Vincentian Physician Services LLC Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
St. Vincent's East Past Accepting new patients

Locations

5000 Medical West Way
Bessemer, AL 35022
Phone (205) 481-7312

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

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

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

Organizations & group practices 5

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.

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": "1242518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1811122138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 COUNTY ROAD 304",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350406900",
            "telephone_number": "205-668-0626",
            "fax_number": "205-668-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 COUNTY ROAD 304",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350406900",
            "telephone_number": "205-668-0626",
            "fax_number": "205-668-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAISLEY",
        "first_name": "KIM",
        "middle_name": "REAVES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-17",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "32719",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "32719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calera, AL

Sources for this page

Verify at the official NPI Registry.