Individual provider Active NPI

Theodore Stevens Feely, MD

  • Nephrology Physician
  • Birmingham, AL
National Provider Identifier
1982756599
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34508 Issued in AL
Practice address
817 Princeton Avenue SW
Professional Office BLDG II, Suite 206
Birmingham, AL 35211
Phone
(205) 226-5900
Fax
(205) 226-5937
NPI assigned
Jan 17, 2007
Last updated
Nov 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200500182 NC
Internal Medicine Physician 207R00000X 060832 GA
Nephrology Physician 207RN0300X 060832 GA
Nephrology Physician 207RN0300X 34508 AL Primary
Hospitalist Physician 208M00000X MD.34508 AL

Addresses

Primary practice location

817 Princeton Avenue SW
Professional Office BLDG II, Suite 206
Birmingham, AL 35211

Mailing address

73 West Lakeshore Drive
Suite 200
Birmingham, AL 35209
Phone (205) 226-5900

Other identifiers 5

IdentifierTypeStateIssuer
N460702OtherGAWELLCARE
196561329AMedicaidGA
1241808OtherGAAMERIGROUP
52260873 001OtherGABCBS - GA
P00649787OtherGAMEDICARE - RAILROAD

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
I20160209001823 AL Practitioner - NephrologyPractitioner - Internal Medicine 1557431301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates, PCGroup PAC ID 1557330859, 31 clinicians

Practice addresses (Care Compare)

1000 1St N St
Alabaster, AL 35007-8703
Phone (205) 620-8100

1088 9TH Ave SW
Suite 108
Bessemer, AL 35022-7833
Phone (205) 226-5900

2010 Brookwood Med Ctr Dr
Birmingham, AL 35209-6804
Phone (205) 877-1000

2244 N Rd
Suite 108
Gardendale, AL 35071-2258
Phone (205) 226-5900

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 592-1000

3800 Ridgeway Dr
Birmingham, AL 35209-5506
Phone (205) 868-2347

405 S 2ND St
Gadsden, AL 35901-5206
Phone (205) 226-5900

5000 Medical W Way
Bessemer, AL 35022-7082
Phone (205) 481-7000

7 Huddle Dr
Suite 100
Birmingham, AL 35242-0313
Phone (205) 226-5900

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 783-3000

817 Princeton Ave SW
Suite 206
Birmingham, AL 35211-1348
Phone (205) 226-5900

900 Oak Mountain Commons LN
Pelham, AL 35124-1484
Phone (205) 967-7116

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
060832GAMDInternal Medicine Physician
200500182NCMDInternal Medicine Physician
MD.34508ALMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates, PC Nephrology CurrentSince Mar 14, 2016 Accepting new patients
Concentric Hospitalist Group PC Internal Medicine CurrentSince Dec 14, 2015 Accepting new patients
Primary Care Services-Blount, LLC Internal Medicine PastSince Jan 24, 2023 Accepting new patients
Baptist Health Centers LLC Past Accepting new patients
Physical Therapy Solutions,LLC Past Accepting new patients

Locations

644 2nd St NE
Ste 201
Alabaster, AL 35007
Phone (205) 620-1700

171 Town Center Dr
Ste MPS4
Anniston, AL 36205
Phone (256) 835-9099

1088 9th Ave SW
Ste 108
Bessemer, AL 35022
Phone (205) 428-8500

5000 Medical West Way
Bessemer, AL 35022
Phone (205) 481-7312

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

7 Huddle Dr
Ste 100
Birmingham, AL 35242

817 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 788-7572

817 Princeton Ave SW
Ste 206
Birmingham, AL 35211
Phone (205) 788-7572

817 Princeton Ave SW
Ste 210
Birmingham, AL 35211
Phone (205) 226-5911

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

405 S 2nd St
Gadsden, AL 35901

2244 North Rd
Ste 108
Gardendale, AL 35071

2700 Rogers Dr
Ste 102
Homewood, AL 35209
Phone (205) 379-0975

3400 Highway 78 E
Ste 321
Jasper, AL 35501
Phone (205) 385-0630

101 Lemley Dr
#A
Oneonta, AL 35121
Phone (205) 625-3561

1770 Independence Ct
Vestavia Hills, AL 35216
Phone (205) 226-5934

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73220

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1982756599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 WEST LAKESHORE DRIVE",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-226-5900",
            "fax_number": "205-226-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 PRINCETON AVENUE SW",
            "address_2": "PROFESSIONAL OFFICE BLDG II, SUITE 206",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35211",
            "telephone_number": "205-226-5900",
            "fax_number": "205-226-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEELY",
        "first_name": "THEODORE",
        "middle_name": "STEVENS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200500182",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "060832",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "060832",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "34508",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "MD.34508",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "N460702",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196561329A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "1241808",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - GA",
            "identifier": "52260873 001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - RAILROAD",
            "identifier": "P00649787",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.