Organization Active NPI

Meditek/Greystone, Inc.

  • Radiology Clinic/Center
  • Birmingham, AL
National Provider Identifier
1952372930
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MEDITEK/GREYSTONE, INC.
Practice address
7500 Hugh Daniel Dr
Suite 150
Birmingham, AL 35242-7148
Phone
(205) 995-4900
Fax
(205) 995-0203
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Traci Brown
Title
Director of Billing
Phone
(706) 256-3450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

7500 Hugh Daniel Dr
Suite 150
Birmingham, AL 35242-7148

Mailing address

PO Box 931080
Atlanta, GA 31193-1080
Phone (205) 995-9899

Other identifiers 9

IdentifierTypeStateIssuer
51032977OtherALBCBS - FACILITY ID NUMBER
1023040409OtherALN. MELINDA BERGQUIST, MD
1124000344OtherALRUTH SNOW, MD
51116979OtherALJAMES SPANN, M.D. - BCBS ID #
1427030642OtherALROBERT EICHELBERGER, MD
529602980MedicaidAL
1235111451OtherALCECIL EILAND, MD
1306051164OtherALJAMES SPANN, M.D. - NPI #
470000666OtherALRAILROAD MEDICARE

Other names 1

  • ImageSouth Greystone Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1952372930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931080",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931080",
            "telephone_number": "205-995-9899",
            "fax_number": "205-995-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HUGH DANIEL DR",
            "address_2": "SUITE 150",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427148",
            "telephone_number": "205-995-4900",
            "fax_number": "205-995-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDITEK/GREYSTONE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "706-256-3450"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - FACILITY ID NUMBER",
            "identifier": "51032977",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N. MELINDA BERGQUIST, MD",
            "identifier": "1023040409",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RUTH SNOW, MD",
            "identifier": "1124000344",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES SPANN, M.D. - BCBS ID #",
            "identifier": "51116979",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBERT EICHELBERGER, MD",
            "identifier": "1427030642",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529602980",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CECIL EILAND, MD",
            "identifier": "1235111451",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES SPANN, M.D. - NPI #",
            "identifier": "1306051164",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "470000666",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ImageSouth Greystone",
            "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 Oct 28, 2020; 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.