DECATUR GENERAL HOSPITAL (NPI# 1164777066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164777066 |
Entity Type | Organization |
Organization Name | DECATUR GENERAL HOSPITAL |
Other Organization Name | PPA |
Practice Address |
1201 7th St Se Decatur AL 35601 |
Mailing Address |
Po Box 2239 Decatur AL 35609-2239 |
Practice Telephone | 2563504855 |
Practice Fax Number | 2563504866 |
Mailing Telephone | 2563504855 |
Mailing Fax Number | 2563504866 |
Enumeration Date | 2012-07-17 |
Last Update Date | 2012-08-21 |
Authorized Official Name | DEAN A GRIFFIN (CEO) |
Authorized Official Telephone | 2563412802 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
PPA | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053608968 | Decatur General Hospital | Family Medicine | 1211 Highway 31 Nw, Hartselle, AL 35640-4420 | 2011-06-30 |
1972744084 | Decatur General Hospital | Obstetrics & Gynecology | 1107 14th Avenue Se, Suite 320, Decatur, AL 35601 | 2009-03-19 |
1255583324 | Decatur General Hospital | Obstetrics & Gynecology | 1202 13th Aveneue Se, Decatur, AL 35601 | 2008-10-21 |
1417209081 | Decatur General Hospital | Obstetrics & Gynecology | 1304 13th Ave Se, Suite C, Decatur, AL 35601-4359 | 2012-10-08 |
1780940494 | Decatur General Hospital | Pediatrics | 1215 7th St Se, Suite 230, Decatur, AL 35601-3337 | 2012-04-06 |
1356614077 | Decatur General Hospital | Internal Medicine | 1006 Hill St Sw, Hartselle, AL 35640-2802 | 2012-02-10 |
1649542127 | Decatur General Hospital | Internal Medicine | 1215 7th St Se, Suite 140, Decatur, AL 35601-3337 | 2012-01-31 |
1598041774 | Decatur General Hospital | Family Medicine | 1215 7th St Se, Suite 140, Decatur, AL 35601-3337 | 2011-11-01 |
1295023984 | Decatur General Hospital | Urology | 1107 14th Ave Se, Suite G200, Decatur, AL 35601-3309 | 2011-07-14 |
1205122272 | Decatur General Hospital | Family Medicine | 1215 7th St Se, Suite 140, Decatur, AL 35601 | 2011-06-28 |
Street Address |
1201 7TH ST SE |
City | DECATUR |
State | AL |
Zip Code | 35601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326036070 | Brian Koonce | Nurse Anesthetist, Certified Registered | 1201 7th St Se, Decatur, AL 35601-3337 | 2005-10-06 |
1598389116 | Julianna Mize | Nurse Anesthetist, Certified Registered | 1201 7th St Se, Decatur, AL 35601-3337 | 2020-05-29 |
1831728302 | Jennifer Leigh Davis | Registered Nurse | 1201 7th St Se, Decatur, AL 35601-3337 | 2020-04-06 |
1316571615 | Decatur Morgan Emergency Medicine | Emergency Medicine | 1201 7th St Se, Decatur, AL 35601-3337 | 2020-02-25 |
1245791912 | Summer Cole Todd | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3337 | 2019-03-26 |
1417416173 | Reagan Robinson Lindsey | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3337 | 2019-03-12 |
1639633258 | Brittany Marie Walker | Registered Nurse | 1201 7th St Se, Decatur, AL 35601-3337 | 2019-01-28 |
1144799693 | Jenna Anne Cox Mcgee | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3303 | 2018-11-14 |
1093296964 | Delana Cole Clemons | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3337 | 2018-08-28 |
1710409958 | Mrudula Thiriveedi | Internal Medicine | 1201 7th St Se, Decatur, AL 35601-3337 | 2017-07-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
Find all providers in zip 35601 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1477858108 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 2097 N Decatur Rd, Decatur, GA 30033-5305 | 2011-01-11 |
1194781773 | North Central Texas Orthopaedics and Sports Medicine Pa | Clinic/Center | 1713 S Fm 51, Ste 103, Decatur, TX 76234 | 2006-04-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.