Individual provider Active NPI

Anne Marie Reidy, MD

  • Obstetrics & Gynecology Physician
  • Huntsville, AL
National Provider Identifier
1902890387
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25744 Issued in AL
Practice address
320 Pelham Avenue SW
Suite 300
Huntsville, AL 35801
Phone
(256) 759-9269
Fax
(256) 759-9187
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25744 AL Primary

Addresses

Primary practice location

320 Pelham Avenue SW
Suite 300
Huntsville, AL 35801

Mailing address

320 Pelham Avenue SW
Suite 300
Huntsville, AL 35801
Phone (256) 759-9269

Other identifiers 1

IdentifierTypeStateIssuer
05152296MedicaidAL

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
I20041022000927 AL Practitioner - Obstetrics/Gynecology 5597726513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women4Women OBGYN, LLCGroup PAC ID 2668742818, 7 clinicians

Practice addresses (Care Compare)

320 Pelham Ave SW
Suite 301
Huntsville, AL 35801-5051
Phone (256) 675-9269

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25744ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Valley OB-GYN Clinic PC Obstetrics & Gynecology Current Accepting new patients
Women4Women OBGYN, LLC Obstetrics & Gynecology CurrentSince Jan 30, 2017 Accepting new patients
The Health Care Authority of the City of Huntsville Past Accepting new patients

Locations

320 Pelham Ave SW
Ste 300
Huntsville, AL 35801
Phone (256) 675-9269

910 Adams St SE
Ste 200
Huntsville, AL 35801
Phone (256) 265-6512

320 Pelham Ave SW
Ste 301
Huntsville, AL 35801
Phone (256) 675-9269

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15832/brand/1/csg/1/fhir/r4
  • Direct secure messaging: annemarie.reidy.1@15832.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1902890387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PELHAM AVENUE SW",
            "address_2": "SUITE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-759-9269",
            "fax_number": "256-759-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PELHAM AVENUE SW",
            "address_2": "SUITE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-759-9269",
            "fax_number": "256-759-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDY",
        "first_name": "ANNE MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "25744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05152296",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.