Ashley Davis Beasley, M.D.
Individual provider Active NPI Pediatrics Physician · Birmingham, AL
NPI 1821201062 · NPPES record last updated Dec 11, 2015
Key facts
- NPI
- 1821201062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD.30235 (AL)
- Practice address
- 1400 4TH Ave South
Birmingham, AL 35233 - Phone
- (205) 329-7200
- Fax
- (205) 329-7250
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.30235 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Children'S Hospital of Alabama | Pediatrics | Past | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients | |
| The Children'S Hospital of Alabama | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD.30235 | AL | Yes |
| Emergency Medicine Physician | 207P00000X | MD.30235 | AL |
Addresses
Primary practice location
1400 4TH Ave South
Birmingham, AL 35233
Mailing address
3555 Grandview Pkwy
Apt 337
Birmingham, AL 35243-2028
Phone (251) 404-5731
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166405 | Medicaid | AL | |
| 165076 | Medicaid | AL | |
| 511-53845 | Other | AL | BCBS |
| 511-53846 | Other | AL | BCBS |
Other names
- Ashley Jaquay Davis
Other providers in Birmingham, AL
- Lindsay Bearden
- Makenzie Bearden
- Howard H Bearman
- Mark Gregory Bearman
- Ashley Beasley
- Calli R Beasley
- Catherine Beasley
- Joan E Beasley
- Katherine Elizabeth Beasley
- Nathan Howard Beasley
All providers in Birmingham, AL · Pediatrics Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.