MEDICARE: MATCH POINT BIRMINGHAM LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center
2	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1821954389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATCH POINT BIRMINGHAM LLC

Provider Business Mailing Address
First Line	:	2 CORPUS CHRISTIE PL STE 101
Second Line	:
City	:	HILTON HEAD
State	:	SC
Zip	:	29928-1718
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	114 TRADE CENTER DR STE A
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35244-1690
Country	:	US
Telephone Number	:	205-287-0555
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARK PIEGZA
Credential	:
Telephone Number	:	843-310-1078

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	01/22/2026

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Directions to “MATCH POINT BIRMINGHAM LLC ” Practice Location

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