Individual provider Active NPI

Sandra King, FNP-BC

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1811651334
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-143568 Issued in AL
Practice address
4500 Valleydale Rd
Birmingham, AL 35242-4636
Phone
(205) 409-2794
NPI assigned
Oct 30, 2021
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-143568 AL Primary

Addresses

Primary practice location

4500 Valleydale Rd
Birmingham, AL 35242-4636

Mailing address

5137 Hollow Log LN
Birmingham, AL 35244-1925
Phone (205) 370-7859

Other practice location 1

1 Perimeter Park S Ste 100N
Birmingham, AL 35243-3248
Phone (205) 370-7859

Other practice location 2

5502 Caldwell Mill Rd Ste A
Birmingham, AL 35242-4546
Phone (205) 370-7859

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211113000235 AL Practitioner - Nurse Practitioner 2567851595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Immediate Care, LLCGroup PAC ID 6103114087, 46 clinicians

Practice addresses (Care Compare)

4500 Valleydale Rd
Suite 160
Birmingham, AL 35242-4633
Phone (205) 409-2794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-143568ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbiana Clinic LLC CurrentSince Oct 1, 2021 Accepting new patients
Southern Immediate Care, LLC CurrentSince Nov 1, 2024 Accepting new patients
SLK Management Services LLC Family CurrentSince Aug 4, 2024 Accepting new patients
Keel and Associates CurrentSince Nov 1, 2024 Accepting new patients

Locations

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

4500 Valleydale Rd
Birmingham, AL 35242
Phone (205) 409-2794

4500 Valleydale Rd
Ste 160
Birmingham, AL 35242
Phone (205) 409-2794

5502 Caldwell Mill Rd
Ste A
Birmingham, AL 35242
Phone (205) 370-7859

22266 Highway 25
Columbiana, AL 35051
Phone (205) 397-2663

1 Perimeter Park S
Ste 100N
Mountain Brook, AL 35243
Phone (205) 936-2356

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19717/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1811651334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5137 HOLLOW LOG LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441925",
            "telephone_number": "205-370-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 VALLEYDALE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424636",
            "telephone_number": "205-409-2794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Perimeter Park S Ste 100N",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352433248",
            "country_code": "US",
            "telephone_number": "205-370-7859",
            "fax_number": "205-431-3412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5502 Caldwell Mill Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352424546",
            "country_code": "US",
            "telephone_number": "205-370-7859",
            "fax_number": "205-431-3412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-30",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-143568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.