Organization Active NPI

Sand Mountain Internal Medicine and Geriatrics

  • Primary Care Clinic/Center
  • Birmingham, AL
National Provider Identifier
1861771792
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2322 Issued in AL
Legal business name
SAND MOUNTAIN INTERNAL MEDICINE AND GERIATRICS
Practice address
181 W Valley Ave Ste 214
Birmingham, AL 35209-3691
Phone
(205) 732-3743
NPI assigned
Aug 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Dr. Wendy Renee Walker, M.D.
Title
Physician/President
Phone
(205) 542-2713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 2322 AL Primary

Addresses

Primary practice location

181 W Valley Ave Ste 214
Birmingham, AL 35209-3691

Mailing address

1981 Cahaba CV
Hoover, AL 35244-1823
Phone (205) 542-2713

National Provider Directory

National Provider Directory

Locations

1235 Highway 77
Attalla, AL 35954
Phone (256) 281-6192

181 W Valley Ave
Ste 214
Birmingham, AL 35209
Phone (205) 732-3743

214 S McCleskey St
Ste 821
Boaz, AL 35957
Phone (256) 281-6192

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1861771792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 CAHABA CV",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441823",
            "telephone_number": "205-542-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W VALLEY AVE STE 214",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093691",
            "telephone_number": "205-732-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAND MOUNTAIN INTERNAL MEDICINE AND GERIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "205-542-2713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "2322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.