NPIMap

Organization Active NPI

The Children's Hospital of Alabama

Doing business as Mayfair Medical Group

  • Pediatrics Physician
  • Birmingham, AL
National Provider Identifier
1861595043
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
THE CHILDREN'S HOSPITAL OF ALABAMA
Doing business as
Mayfair Medical Group
Practice address
3401 Independence Dr
Birmingham, AL 35209-5662
Phone
(205) 870-1273
NPI assigned
Sep 6, 2006
Last updated
Sep 8, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
THE CHILDREN'S HOSPITAL OF ALABAMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Dawn Walton
Title
Cfo
Phone
(205) 638-9901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3401 Independence Dr
Birmingham, AL 35209-5662

Mailing address

PO Box 59552
Birmingham, AL 35259-9552

Other names 1

  • Mayfair Medical Group Doing business as

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
01D0300942Mayfair Medical Group3401 Independence Dr, Birmingham, AL 35209AccreditationJan 21, 2027

National Provider Directory

National Provider Directory
Part of
The Children's Hosptial of Alabama

Locations

3401 Independence Dr
Ste 111
Homewood, AL 35209
Phone (205) 870-1273

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1861595043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59552",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352599552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 INDEPENDENCE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095662",
            "telephone_number": "205-870-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S HOSPITAL OF ALABAMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHILDREN'S HOSPITAL OF ALABAMA",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-638-9901"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayfair Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mayfair Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.