MADELAINE STANBACK SOUTHALL
NPI 1750025060
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Q: What is Madelaine Southall's NPI number?

The NPI number for Madelaine Southall is 1750025060. It was assigned to this individual provider in the NPPES registry on April 22, 2022. The provider is also known as Madelaine Anne Stanback.

Q: What is Madelaine Southall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 22, 2022PECOS Enrolled

625 19TH ST S, BIRMINGHAM, AL 35233(205) 638-9589(205) 638-9977 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Madelaine Stanback Southall NPPES

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

MADELAINE STANBACK SOUTHALL (NPI 1750025060) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750025060

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMADELAINE STANBACK SOUTHALL

Location Address625 19TH ST SBirmingham, AL 35233-1900

Mailing Address625 19th St SBirmingham, AL 35233-1900 · (205) 638-9589 · Fax (205) 638-9977

Phone(205) 638-9589

Fax(205) 638-9977

Sole ProprietorNo

Enumeration DateApril 22, 2022

Last NPPES UpdateMarch 29, 2024

NPPES CertifiedMarch 29, 2024

✔ NPI 1750025060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

625 19TH ST S, Birmingham, AL 35233

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Other Names 1

Former Name (1)Madelaine Anne Stanback

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madelaine Stanback Southall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

RUI ZHENG-PYWELL MD

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