DR. GARY AMON DILLARD MD NPI 1043325400

NPI Information

NPI: 1043325400
Provider Name: DR. GARY AMON DILLARD, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1810 STADIUM DRIVE STE 240
PHENIX CITY, AL
ZIP 36867
Phone: (334) 291-8303
Get Directions

DR. Gary Amon Dillard, MD is a family medicine in Phenix City, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Gary Amon Dillard, MD NPI is 1043325400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1810 STADIUM DRIVE STE 240
PHENIX CITY, AL
ZIP 36867
Phone: (334) 291-8303
Fax: (334) 291-8325

The NPI 1043325400 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 7/8/2007.

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
1	207Q00000X	Family Medicine		9197	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	051512167DIL	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA
2	08BBXHP	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
3	009907905	MEDICAID	ALABAMA
4	C72171	MEDICARE UPIN

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: 4/28/2024

NPI Synchronization or Removal

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