NPIMap

Organization Active NPI

Crimson Care North

  • Family Medicine Physician
  • Northport, AL
National Provider Identifier
1962284505
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CRIMSON CARE NORTH
Doing business as
Crimson Care North
Practice address
1116 Mitt Lary Rd
Northport, AL 35475-4978
Phone
(205) 556-5634
Fax
(205) 556-5644
NPI assigned
Oct 18, 2023
Last updated
Mar 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Dr. Sasank Raheel Peramsetty, MDNPI 1225666175
Title
Medical Director
Phone
(205) 556-5634

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

1116 Mitt Lary Rd
Northport, AL 35475-4978

Mailing address

1718 Veterans Memorial Pkwy Ste a
Tuscaloosa, AL 35404-4792

Other names 1

  • CRIMSON CARE NORTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240927000918 AL Part B Supplier - Clinic/Group Practice 0941731293 Receives reassigned benefits from 17 practitioners
Practice locations: Northport, AL
O20250812003194 AL DME Supplier - Physician - Family Practice 0941731293 Practice locations: Northport, AL

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
01D2295099Crimson Care North1116 Mitt Lary Rd, Northport, AL 35475Certificate of waiverDec 4, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1962284505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 VETERANS MEMORIAL PKWY STE A",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354044792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 MITT LARY RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354754978",
            "telephone_number": "205-556-5634",
            "fax_number": "205-556-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIMSON CARE NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "PERAMSETTY",
        "authorized_official_first_name": "SASANK",
        "authorized_official_middle_name": "RAHEEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "205-556-5634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRIMSON CARE NORTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CRIMSON CARE NORTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.