Individual provider Active NPI

Amanda M Stevens, M.D.

  • Family Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1821318858
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31636 Issued in AL
Practice address
1718 Veterans Memorial Pkwy
BLDG #C
Tuscaloosa, AL 35404-4791
Phone
(205) 553-1900
Fax
(205) 553-4575
NPI assigned
Jun 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31636 AL Primary

Addresses

Primary practice location

1718 Veterans Memorial Pkwy
BLDG #C
Tuscaloosa, AL 35404-4791

Mailing address

1718 Veterans Memorial Pkwy
BLDG #C
Tuscaloosa, AL 35404-4791
Phone (205) 553-1900

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
I20130612000216 AL Practitioner - Family PracticePractitioner - General Practice 4486893039 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Physician Group, LLP CurrentSince Aug 12, 2017 Accepting new patients
Whatley Health Services Inc CurrentSince Nov 12, 2017 Accepting new patients
Whatley Health Services, Inc. CurrentSince Nov 12, 2017 Accepting new patients
Summit Physician Group LLP Family Medicine CurrentSince Sep 22, 2018 Accepting new patients

Locations

315 Main Ave
Northport, AL 35476
Phone (205) 344-9019

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

2700 Hospital Dr
Ofc 1
Northport, AL 35476

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

701 University Blvd E
Ste 507
Tuscaloosa, AL 35401
Phone (205) 330-3650

701 University Blvd E
Ste 604
Tuscaloosa, AL 35401
Phone (205) 759-6925

1655 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 301-8930

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHBIDD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1821318858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 VETERANS MEMORIAL PKWY",
            "address_2": "BLDG #C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354044791",
            "telephone_number": "205-553-1900",
            "fax_number": "205-553-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 VETERANS MEMORIAL PKWY",
            "address_2": "BLDG #C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354044791",
            "telephone_number": "205-553-1900",
            "fax_number": "205-553-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "AMANDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "31636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.