AFFINITY PHYSICIAN SERVICES LLC
NPI 1366485617
General Practice in Birmingham, AL
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
Specialties & Licenses 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Affinity Physician Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
124Medicare enrollment records show 124 clinicians reassign Medicare billing to Affinity Physician Services LLC, which bills Medicare for the services they deliver. Of these, 33 practice at this address and 90 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 124Birmingham, AL 35243
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ALCertificate of Waiver 01D2337804
Affinity Physician Services Dba Gv Obgyn Potter · Birmingham, ALFrequently 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.
Is Affinity Physician Services LLC enrolled in Medicare?
Yes. Affinity Physician Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Affinity Physician Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 124 clinicians in 14 Medicare specialties reassign their Medicare billing to Affinity Physician Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (37), Family Practice (23) and Internal Medicine (18). Of these, 33 practice at this address and 90 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 of Alabama, Ambetter of Tennessee and WellSense Health Plan 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.
# Affinity Physician Services Llc · NPI 1366485617
General Practice organization in Birmingham, Alabama. Organization record, active in the CMS NPPES registry since June 14, 2006.
## Identity
- **NPI:** 1366485617 (Entity type: Organization)
- **Enumerated:** June 14, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Jackson, SR DIR PROV ENROLL & ONBOARDING
## Practice location
- **Address:** 3686 GRANDVIEW PKWY STE 820, Birmingham, AL 35243-3408
- **Phone:** (205) 971-3000 · **Fax:** (205) 971-4910
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 124 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (37), Family Practice (23), Internal Medicine (18); 33 practice at this address and 90 within 10 miles; [full list](https://npiprofile.com/npi/1366485617/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2023
- **Other identifiers:** Medicaid 529928290 (AL)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366485617) · Data from the CMS NPPES public registry.