SOUTHSIDE PAIN SPECIALISTS
NPI 1558546994
Anesthesiology - Pain Medicine in Birmingham, AL
NPI Status: Active since January 04, 2008
Contact Information
1020 26TH ST S
SUITE 100
BIRMINGHAM, AL
ZIP 35205
Phone: (205) 332-3155
Fax: (205) 332-3162
- Organization
- Anesthesiology
- Pain Medicine
- CLIA Number: 01D2178816
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-26-2027
About SOUTHSIDE PAIN SPECIALISTS
This page provides the complete NPI Profile along with additional information for Southside Pain Specialists, a provider established in Birmingham, Alabama operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1558546994 assigned on January 2008. The practitioner's primary taxonomy code is 207LP2900X with license number 19356 (AL). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Southside Pain Specialists. The authorized official of this NPI record is Jim Carson (Administrator)
- NPI
- 1558546994
- Provider Legal Name
- SOUTHSIDE PAIN SPECIALISTS, PC
- Other Organization Name
- SOUTHSIDE PAIN SPECIALISTS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1020 26TH ST S SUITE 100 BIRMINGHAM, AL 35205
- Location Phone
- (205) 332-3155
- Location Fax
- (205) 332-3162
- Mailing Address
- 1020 26TH ST S BIRMINGHAM, AL 35205
- Mailing Phone
- (205) 332-3155
- Mailing Fax
- (205) 332-3162
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-04-2008
- Last Update Date
- 01-13-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiology Pain Medicine
- Taxonomy Code
- 207LP2900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 19356
- License State
- AL
- Taxonomy Description
- An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 01D2178816
- Facility Type
- Physician Office
- Certificate Effective Date
- April 27, 2025
- Certificate Expiration Date
- April 26, 2027
- Laboratory Director
- MICHAEL KENDRICK
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Southside Pain Specialists on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 5 | 8 | 5 | 4 | 6 | 9 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 10 | 4 | 12 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 1 + 0 + 4 + 1 + 2 + 9 + 1 + 8 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1558546994 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225098163 | DR. MICHAEL SCOTT KENDRICK MD Individual | Pain Medicine (Interventional Pain Medicine) | 1020 26TH ST S SUITE 100 BIRMINGHAM, AL 35205 (205) 332-3155 |
| 1124052329 | M SCOTT TOUGER MD PC Organization | Internal Medicine | 1020 26TH ST S 2ND FLOOR BIRMINGHAM, AL 35205 (205) 397-1275 |
| 1447268032 | MARIA D WELLMAN MD Individual | Specialist | 1020 26TH ST S 2ND FLOOR BIRMINGHAM, AL 35205 (205) 397-1278 |
| 1043516891 | STEPHANIE ALLEN CALVERT CRNP Individual | Nurse Practitioner (Family) | 1020 26TH ST S SUITE 100 BIRMINGHAM, AL 35205 (205) 332-3155 |
| 1750772463 | MR. RICHARD DREW GIBBS CRNP Individual | Nurse Practitioner (Family) | 1020 26TH ST S BIRMINGHAM, AL 35205 (205) 332-3155 |
| 1063704823 | ROSS ALLEN LUMSDEN M.D. Individual | Physical Medicine & Rehabilitation | 1020 26TH ST S STE 100 BIRMINGHAM, AL 35205 (205) 332-3155 |
| 1841707601 | ALYSIA DIANE JACKSON CRNP Individual | Nurse Practitioner | 1020 26TH ST S BIRMINGHAM, AL 35205 (205) 332-3155 |
| 1255894119 | KYLE GLASSER Individual | Anesthesiology (Pain Medicine) | 1020 26TH ST S BIRMINGHAM, AL 35205 (205) 332-3155 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558546994, enumerated in the NPI registry as an "organization" on January 04, 2008
The provider is located at 1020 26th St S Suite 100 Birmingham, Al 35205 and the phone number is (205) 332-3155
This medical organization specializes in Anesthesiology with taxonomy code 207LP2900X with a focus in Pain Medicine
The provider's CLIA number is 01D2178816 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on January 04, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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