OrganizationActive
Direct Pay Provider Network LLC
NPI 1003436254 · Contractor · Birmingham, AL
Provider details
- NPI number
- 1003436254
- Entity type
- Organization
- Primary specialty
- ContractorOther Service Providers
- Organization subpart
- No
- Authorized official
- Jason Washam, Provider Network Manager(205) 397-3096
Specialties & taxonomies
Other Service Providers
Practice location
2700 Corporate Dr Ste 200
Birmingham, AL 35242-2733
Phone: (866) 214-5920
Fax: (844) 325-6485
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 381866
Birmingham, AL 35238-1866
Registry dates
- Enumerated
- 2020-04-17
- Last updated
- 2020-04-17
- Certified
- 2020-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.