PEDIATRICS PLUS P.C. NPI 1104137439

NPI Information

NPI: 1104137439
Provider Name: PEDIATRICS PLUS, P.C.
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

CLIA Number: 01D2009504

Address:
3312 HENRY RD
ANNISTON, AL
ZIP 36207
Phone: (256) 241-2671
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PEDIATRICS PLUS, P.C. is a pediatrics nurse practitioner in Anniston, AL. PEDIATRICS PLUS, P.C. NPI is 1104137439. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3312 HENRY RD
ANNISTON, AL
ZIP 36207-344
Phone: (256) 241-2671
Fax: (256) 241-2676

The provider's authorized official is Charles Eugene Thomas .
The authorized official title is Owner and has the following contact phone number (256) 241-2671.

The CLIA number assigned to this NPI record is 01D2009504 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/1/2010 and was last updated on 7/2/2014.

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	208000000X	Pediatrics		14173	ALABAMA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	1084368	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	Other Provider Identifier Issuer
1	122015	MEDICAID	ALABAMA

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: 11/14/2023

NPI Synchronization or Removal

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