=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619226370
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WOMENS HEALTH SPECIALISTS OF BIRMINGHAM INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/09/2012
-----------------------------------------------------
Last Update Date | 07/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3686 GRANDVIEW PKWY SUITE 300
-----------------------------------------------------
City | BIRMINGHAM
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35243-3407
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-536-7676
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 689022
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37068-9022
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-848-1457
-----------------------------------------------------
Fax | 615-628-6877
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR PROVIDER ENROLLMENT
-----------------------------------------------------
Name | KRISTINA MUSIC
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 877-892-9815
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------