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AFFINITY PHYSICIAN SERVICES LLC
NPI 1366485617
General Practice in Birmingham, AL

Active since June 14, 2006CLIA Certified · 2 labs
3686 GRANDVIEW PKWY STE 820, BIRMINGHAM, AL 35243(205) 971-3000(205) 971-4910 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2023, Jul 8, 2021, Sep 13, 2018 (3 updates tracked since 2018).

About Affinity Physician Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AFFINITY PHYSICIAN SERVICES LLC (NPI 1366485617) is a healthcare organization registered as a general practice in Birmingham, Alabama and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Jennifer L Jackson, Sr Dir Prov Enroll & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1366485617
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameAFFINITY PHYSICIAN SERVICES LLC
Location Address3686 GRANDVIEW PKWY STE 820Birmingham, AL 35243-3408
Mailing Address3690 Grandview PkwyBirmingham, AL 35243-3326
Phone(205) 971-3000
Fax(205) 971-4910
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enroll & Onboarding · (615) 465-3334
Enumeration DateJune 14, 2006
Last NPPES UpdateJanuary 12, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
✔ NPI 1366485617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
3686 GRANDVIEW PKWY STE 820, Birmingham, AL 35243
Open in Google Maps ↗

Other Identifiers 1

Medicaid529928290AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D1084432

Affinity Physician Services, LLC · Birmingham, AL
Active · expires Aug 13, 2026
CLIA Number01D1084432
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2024
Certificate Expiration DateAugust 13, 2026
Laboratory DirectorLeffrage Robbins
Laboratory Phone(205) 971-4903
Laboratory LocationAffinity Physician Services, LLC3686 Grandview Parkway, Suite 820, Birmingham, AL 35243
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D2337804

Affinity Physician Services Dba Gv Obgyn Potter · Birmingham, AL
Active · expires Jan 28, 2028
CLIA Number01D2337804
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorMargot Potter
Laboratory Phone(205) 971-5499
Laboratory LocationAffinity Physician Services Dba Gv Obgyn Potter3686 Grandview Parkway, Suite 710, Birmingham, AL 35243
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA R BYRD M.D.
Internal Medicine
3686 GRANDVIEW PKWY STE 820
BIRMINGHAM, AL 35243
Jefferson County (205) 971-3000
KATHERINE JEAN HENRY CRNP
Nurse Practitioner (Family)
3686 GRANDVIEW PKWY STE 820
BIRMINGHAM, AL 35243
Jefferson County (205) 971-3000
DR. CHARLES BRANDON CROW III M.D.
Internal Medicine
3686 GRANDVIEW PKWY STE 820
BIRMINGHAM, AL 35243
Jefferson County (205) 971-3000
JILL ARORA
Nurse Practitioner (Primary Care)
3686 GRANDVIEW PKWY STE 820
BIRMINGHAM, AL 35243
Jefferson County (205) 971-3000
DAVID CHRISTOPHER BLACK M.D.
Internal Medicine
3686 GRANDVIEW PKWY STE 820
BIRMINGHAM, AL 35243
Jefferson County (205) 971-3000
DR. AJAY SOMBHAI PATEL MD
Internal Medicine
3686 GRANDVIEW PKWY STE 820
BIRMINGHAM, AL 35243
Jefferson County (205) 971-3000
THOMAS J CUNNINGHAM II MD
Internal Medicine
3686 GRANDVIEW PKWY STE 820
BIRMINGHAM, AL 35243
Jefferson County (205) 971-4910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Affinity Physician Services LLC's NPI number?

The NPI number for Affinity Physician Services LLC is 1366485617. It was assigned to this organization in the NPPES registry on June 14, 2006.

Where is Affinity Physician Services LLC located?

Affinity Physician Services LLC is located at 3686 Grandview Pkwy Ste 820, Birmingham, AL 35243. The listed phone number is (205) 971-3000.

What is Affinity Physician Services LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Affinity Physician Services LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Affinity Physician Services LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Affinity Physician Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Affinity Physician Services LLC was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.