Organization Active NPI

Cahaba Concierge Medicine, LLC

  • Family Medicine Physician
  • Vestavia, AL
National Provider Identifier
1831764984
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAHABA CONCIERGE MEDICINE, LLC
Practice address
8011 Liberty Pkwy Ste 101
Vestavia, AL 35242-7670
Phone
(205) 255-4024
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Dr. Katherine Alford MooreNPI 1831364611
Title
Physician Owner
Phone
(205) 968-5988

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

8011 Liberty Pkwy Ste 101
Vestavia, AL 35242-7670

Mailing address

8011 Liberty Pkwy Ste 101
Vestavia, AL 35242-7670

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EMR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210528000827 AL Part B Supplier - Clinic/Group Practice 8628477361 Receives reassigned benefits from 1 practitioner
Practice locations: Vestavia, 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
01D2228834Cahaba Concierge Medicine8011 Liberty Parkway Suite 101, Vestavia Hills, AL 35242Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Locations

8011 Liberty Pkwy
Ste 101
Vestavia, AL 35242
Phone (205) 255-4024

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23961/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1831764984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 LIBERTY PKWY STE 101",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352427670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 LIBERTY PKWY STE 101",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352427670",
            "telephone_number": "205-255-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAHABA CONCIERGE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ALFORD",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "205-968-5988",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "8011 Liberty Pkwy Ste 101",
            "city": "Vestavia",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352427670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.