Organization Active NPI

Rollins, Miles and Schmitt PC

Doing business as Alabama Weight Loss Surgery

  • Specialist
  • Birmingham, AL
National Provider Identifier
1982796603
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ROLLINS, MILES AND SCHMITT PC
Doing business as
Alabama Weight Loss Surgery
Practice address
52 Medical Park East Drive
Suite 307
Birmingham, AL 35235
Phone
(205) 838-3047
Fax
(205) 838-3497
NPI assigned
Sep 29, 2006
Last updated
Sep 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Mrs. Heather Tidwell
Title
Office Manager
Phone
(205) 838-3047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

52 Medical Park East Drive
Suite 307
Birmingham, AL 35235

Mailing address

52 Medical Park East Drive
Suite 307
Birmingham, AL 35235
Phone (205) 838-3047

Other names 1

  • Alabama Weight Loss Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051214000470 AL Part B Supplier - Clinic/Group Practice 5496776759 Receives reassigned benefits from 3 practitioners
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

141 Village St
Birmingham, AL 35242

52 Medical Park Dr E
Ste 307
Birmingham, AL 35235
Phone (205) 838-3047

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1982796603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MEDICAL PARK EAST DRIVE",
            "address_2": "SUITE 307",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35235",
            "telephone_number": "205-838-3047",
            "fax_number": "205-838-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 MEDICAL PARK EAST DRIVE",
            "address_2": "SUITE 307",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35235",
            "telephone_number": "205-838-3047",
            "fax_number": "205-838-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLINS, MILES AND SCHMITT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-838-3047",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alabama Weight Loss Surgery",
            "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 Sep 15, 2023; 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.