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GADSDEN REGIONAL PHYSICIAN GROUP PRACTICE LLC NPI 1558506550


NPI Information

NPI: 1558506550
Provider Name: GADSDEN REGIONAL PHYSICIAN GROUP PRACTICE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
100 MEDICAL CENTER DR
SUITE 308
GADSDEN, AL
ZIP 35903
Phone: (256) 494-4646
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GADSDEN REGIONAL PHYSICIAN GROUP PRACTICE LLC is a family medicine in Gadsden, 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. GADSDEN REGIONAL PHYSICIAN GROUP PRACTICE LLC NPI is 1558506550. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 MEDICAL CENTER DR
SUITE 308
GADSDEN, AL
ZIP 35903-134
Phone: (256) 494-4646
Fax: (256) 494-4649

The provider's authorized official is Jennifer L Jackson .
The authorized official title is Sr Dir Prov Enrollment & Onboarding and has the following contact phone number (615) 465-3334.

The enumeration date for this NPI number is 12/5/2008 and was last updated on 4/25/2023.


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
1207L00000XAnesthesiologyNo
2207R00000XInternal MedicineNo
3207RP1001XInternal MedicinePulmonary DiseaseNo
4208000000XPediatricsNo
52084P0800XPsychiatry & NeurologyPsychiatryNo
6208M00000XHospitalistNo
7367500000XNurse Anesthetist, Certified RegisteredNo
8207Q00000XFamily MedicineYes

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
11558506550/109105MEDICAIDALABAMA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.