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ANNISTON PEDIATRICS INC NPI 1457364994


NPI Information

NPI: 1457364994
Provider Name: ANNISTON PEDIATRICS, INC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 01D0681418

Address:
1001 LEIGHTON AVE
ANNISTON, AL
ZIP 36207
Phone: (256) 237-1618
Get Directions

ANNISTON PEDIATRICS, INC is a pediatrics in Anniston, AL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ANNISTON PEDIATRICS, INC NPI is 1457364994. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1001 LEIGHTON AVE
ANNISTON, AL
ZIP 36207-782
Phone: (256) 237-1618
Fax: (256) 237-2661

The provider's authorized official is Janice Clark .
The authorized official title is Administrator and has the following contact phone number (256) 237-1618.

The CLIA number assigned to this NPI record is 01D0681418 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 4/1/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics00015180ALABAMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11210953OTHERALABAMAUNITED HEALTH CARE
2=========OTHERALABAMAALL COMMERCIAL INSURANCES
3G55083MEDICARE UPINALABAMA
4009931864MEDICARE ID-TYPE UNSPECIFIEDALABAMAMEDICARE
5891009700MEDICAIDALABAMA
61210952OTHERALABAMAUNITED HEALTH CARE
7=========OTHERALABAMAALL COMMERCIAL INSURANCES
8F942OTHERALABAMABLUE CROSS BLUE SHIELD
9E68348MEDICARE UPINALABAMA
10891009710MEDICAIDALABAMA
11009931864MEDICAIDALABAMA
12009931866MEDICAIDALABAMA

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

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