NPIMap

Organization Active NPI

Spine Group Alabama, LLC

  • Physical Medicine & Rehabilitation Physician
  • Birmingham, AL
National Provider Identifier
1891276788
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SPINE GROUP ALABAMA, LLC
Practice address
10 Old Montgomery Hwy Ste 200
Birmingham, AL 35209-6797
Phone
(205) 271-6504
Fax
(205) 271-6513
NPI assigned
Aug 28, 2018
Last updated
May 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
Mark James Downey, MDNPI 1477507648
Title
Owner
Phone
(205) 271-6504

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
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

10 Old Montgomery Hwy Ste 200
Birmingham, AL 35209-6797

Mailing address

10 Old Montgomery Hwy Ste 200
Birmingham, AL 35209-6797
Phone (205) 271-6504

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181128003541 AL Part B Supplier - Clinic/Group Practice 0840534053 Receives reassigned benefits from 13 practitioners
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

10 Old Montgomery Hwy
Ste 200
Homewood, AL 35209
Phone (205) 271-6504

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1891276788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OLD MONTGOMERY HWY STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096797",
            "telephone_number": "205-271-6504",
            "fax_number": "205-271-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OLD MONTGOMERY HWY STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096797",
            "telephone_number": "205-271-6504",
            "fax_number": "205-271-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE GROUP ALABAMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "DOWNEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-271-6504",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "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 May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.