AFFINITY PHYSICIAN SERVICES LLC – NPI #1366485617
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

AFFINITY PHYSICIAN SERVICES LLC is a provider located in BIRMINGHAM, AL. NPPES has assigned the NPI number 1366485617 to AFFINITY PHYSICIAN SERVICES LLC on June 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 3 years ago on Jan 12, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AFFINITY PHYSICIAN SERVICES LLC below.

NPI Profile for
AFFINITY PHYSICIAN SERVICES LLC

NPI Number
1366485617
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AFFINITY PHYSICIAN SERVICES LLC
Primary location
3686 GRANDVIEW PKWY STE 820
BIRMINGHAM, AL 35243-3408
Phone: (205) 971-3000 Fax: (205) 971-4910
Mailing address
3690 GRANDVIEW PKWY
BIRMINGHAM, AL 35243-3326
Phone: Fax:
Organization Subpart
No
Authorized Official
JENNIFER JACKSON
SR DIR PROV ENROLL & ONBOARDING
Phone: (615) 465-3334
Updated
Certification Date
Jan 12, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AFFINITY PHYSICIAN SERVICES LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAL529928290
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
261QU0200X
- Clinic/Center / Urgent Care
261QM1300X
- Clinic/Center / Multi-Specialty

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.