ROSE C BIRMINGHAM NPI 1568939510

NPI Information

  • NPI: 1568939510
  • Provider Name: ROSE C BIRMINGHAM
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 209 N CAMELLIA BLVD
    FORT VALLEY, GA
    ZIP 31030
  • Phone: (478) 822-0054

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NPI Details

Rose C Birmingham is a family nurse practitioner in Fort Valley, GA with 11 years of experience. Rose C Birmingham NPI is 1568939510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: DREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2015

The provider's business location address is:

209 N CAMELLIA BLVD
FORT VALLEY, GA
ZIP 31030-368
Phone: (478) 822-0054
Fax: (478) 822-0059

The NPI 1568939510 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/29/2018 and was last updated on 5/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN337038GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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