DECATUR MORGAN GASTROENTEROLOGY NPI 1235568577

NPI Information

  • NPI: 1235568577
  • Provider Name: DECATUR MORGAN GASTROENTEROLOGY
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • CLIA Number: 01D2298602
  • Address: 1107 14TH AVE SE
    SUITE 330
    DECATUR, AL
    ZIP 35601
  • Phone: (256) 353-4949

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NPI Details

DECATUR MORGAN GASTROENTEROLOGY is a medical specialty clinic center in Decatur, AL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DECATUR MORGAN GASTROENTEROLOGY NPI is 1235568577. The provider is registered as an organization entity type.

The provider's business location address is:

1107 14TH AVE SE
SUITE 330
DECATUR, AL
ZIP 35601-309
Phone: (256) 353-4949

The provider's authorized official is Darcell Robinson .
The authorized official title is Director Of Physician Network and has the following contact phone number (256) 341-2802.

The CLIA number assigned to this NPI record is 01D2298602 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2013 and was last updated on 5/28/2014.

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
1261QM2500XClinic/CenterMedical Specialty26035ALABAMAYes

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
1158-595-9OTHERALABAMAECFMG

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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