• Mark J. Downey, MD & Alex Cotter, MD
    10 Old Montgomery Hwy #200. Homewood, AL 35209
    Appointments & Referrals: (205) 271-6511

  • Schedule Now


Spine Group Alabama
10 Old Montgomery Hwy #200
Homewood, AL 35209 

Phone: 205-271-6511
Fax: 205-271-6513

Office Hours:
Office Hours:
Monday - Thursday: 8am - 4:30pm
Friday: 8am - 2:30pm
Saturday/Sunday: Closed

For Appointments and Referrals call 205-271-6511 or you can schedule an appointment online HERE.

Spine Group Alabama includes the expertise of Dr. Mark Downey and Dr. Alex Cotter, both using their background in Physical Medicine and Rehabilitation and Interventional Pain to continue our mission of helping our patients return to healthy active living through compassionate spine care. 

Our office strives to answer all nurse calls in a timely manner. Please allow up to 24 hours for a physician or nurse practitioner to review your nurse call and contact you with an answer. Multiple repeated calls per day will only slow down the ability of our staff to answer your question in an efficient way. 

If you have an after hour medical question that can’t wait until the following business day, our answering service will notify a doctor or practitioner on call. All medical emergencies need to call 911. 

All medication refills are reviewed individually and are usually refilled within 24 hours when medically approved and appropriate. Medications are not refilled or prescribed after hours or on weekends.

Mark J. Downey, MD
Board-Certified Physical Medicine and Rehabilitation
Interventional Spine Physiatrist

Alex Cotter, MD
Board Certified Physical Medicine and Rehabilitation
Board Certified Pain Medicine
Interventional Spine Physiatrist


Need an Appointment?

Spine Group Alabama specializes in the treatment of back pain, neck pain, herniated discs, and all types of ligament strain related to the neck and low back. Spine Group Alabama is referred  back and neck pain patients from across Alabama, including Birmingham, Tuscaloosa, Auburn, Huntsville and Montgomery.

Office Hours:
Monday - Thursday: 8am - 4:30pm
Friday: 8am - 2:30pm
Saturday/Sunday: Closed
(205) 271-6511

Make an Appointment


Over the past 10 years, Dr. Mark Downey at Spine Group Alabama has been the preferred back pain specialist for patients from across Birmingham, Homewood, Tuscaloosa, Auburn, Hunstville and Montgomery. Those with back pain or neck pain often struggle to find a back doctor or spine center that can provide a second opinion for spine surgery and offer nonsurgical treatment for back pain, neck pain, scoliosis (curvature of the spine) and pain symptoms related to a herniated disc. Spine Group Alabama is a Birmingham-based spine center that provides spinal injections, with access to specialists in spine therapy, minimally invasive spine surgery and artificial disc replacement. Spine Group Alabama is the only spine center in the State of Alabama to be included in a national listing of spine centers of excellence by SpineCenterNetwork.com. To be included, a spine center must meet various credentialing criteria, including a non-surgical emphasis and philosophy of care; access to advanced capabilities in minimally invasive spine surgery and artificial disc replacement for motion preservation; and an investment in patient education. This includes providing symptom charts and a Home Remedy Book as a community service for back and neck pain sufferers in Alabama region. The spine center has an internal C-arm and injection suite that enables back and neck pain patients to have a pain-relieving spinal injection and go home within an hour. The spine center includes the expertise of Dr. Mark Downey and Dr. Alex Cotter are physical medicine specialists who have performed thousands of spinal procedures to help patients recover from back and neck pain and get back to activity. Spine Group Alabama maintains one of the busiest spine practices and is proficient in cervical, thoracic and lumbar injections and kyphoplasty.