Affinity Physician Services LLC
NPI 1366485617ActiveOrganization· General Practice· Birmingham, AL
General Practice in Birmingham, Alabama, registered in NPPES in June 2006. The authorized official on file is Jennifer L. Jackson, Sr Dir Prov Enroll & Onboarding. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366485617 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2006 |
| Last updated in NPPES | Jan 12, 2023 |
| Certified by provider | Jan 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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