CAHABA MEDICAL CARE OF AL., LLC (NPI# 1336416288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336416288 |
| Entity Type | Organization |
| Organization Name | CAHABA MEDICAL CARE OF AL., LLC |
| Practice Address |
195 Hospital Dr Centreville AL 35042-2935 |
| Practice Telephone | 2059262992 |
| Practice Fax Number | 2059262993 |
| Mailing Telephone | 2059262992 |
| Mailing Fax Number | 2059262993 |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |
| Authorized Official Name | DR. JOHN B WAITS (OFFICER) |
| Authorized Official Telephone | 2059262992 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Street Address |
195 HOSPITAL DR |
| City | CENTREVILLE |
| State | AL |
| Zip Code | 35042-2935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316201809 | Cahaba Medical Care Foundation | Clinic/Center | 195 Hospital Dr, Centreville, AL 35042-2935 | 2012-06-28 |
| 1659565786 | Lindsey Giddiens | Nurse Practitioner | 195 Hospital Dr, Centreville, AL 35042-2935 | 2007-08-31 |
| 1225117047 | Cahaba Medical Care, PC | Clinic/Center | 195 Hospital Dr, Centreville, AL 35042-2935 | 2006-11-03 |
| 1437237260 | Teresa Law | Nurse Practitioner | 195 Hospital Dr, Centreville, AL 35042-2935 | 2006-11-01 |
| 1144305053 | Coty Darnell Wade | Registered Nurse | 195 Hospital Dr, Centreville, AL 35042-2935 | 2006-10-26 |
| 1245260322 | Martin Eugene Truett | Emergency Medicine | 195 Hospital Dr, Centreville, AL 35042-2935 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093058133 | Cahaba Medical Care Foundation | Clinic/Center | 294 Pierson Avenue, Centreville, AL 35042 | 2013-03-27 |
| 1548305139 | Melody Dawn Randolph | Pharmacist | 1130 Walnut Street, Centreville, AL 35042 | 2007-02-21 |
| 1023127867 | Phil Adams | Dentist | 260 Walnut St., Centreville, AL 35042 | 2006-08-29 |
| 1558855387 | Sajel Nuwamanya | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1912491838 | Paul Abraham | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1386138105 | Alexander Lea | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1831683747 | Whitney Hudman | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1639663453 | Julia Todd | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1891289716 | Mya Stayton | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1548754419 | Malia Swanson | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-14 |
| Find all providers in zip 35042 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972532299 | The Bibb County Healthcare Authority | Clinic/Center | 208 Pierson Avenue, Centreville, AL 35042-2946 | 2006-06-30 |
| 1205108586 | Three Rivers Health System, Inc | Clinic/Center | 677 E Main St Ste B, Centreville, MI 49032-8525 | 2012-02-02 |
| 1508840596 | Three Rivers Health Authority | Clinic/Center | 677 E Main St Ste B, Centreville, MI 49032-8525 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205753 | Pickens County Primary Care PC | Clinic/Center | 99 Commerce Avenue, Carrollton, AL 35447 | 2020-11-06 |
| 1952952541 | Pediatric Associates of Alexander City PC | Clinic/Center | 21 Coosa County Road 50, Kellyton, AL 35089-1900 | 2019-09-25 |
| 1205309044 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 184 William E Hill Drive Ste C, Carrollton, AL 35447 | 2019-01-04 |
| 1487123915 | Physicians Care of Camden LLC | Clinic/Center | 24b Camden Byp, Camden, AL 36726-1770 | 2018-11-14 |
| 1336634666 | Central Pediatrics of Somerville LLC | Clinic/Center | 3609 Highway 67 S, Somerville, AL 35670 | 2018-06-28 |
| 1578060349 | Ivy Creek of Elmore, LLC | Clinic/Center | 4412 Hogan Rd, Deatsville, AL 36022-3400 | 2018-04-09 |
| 1568915106 | Physicians Care of Grove Hill LLC | Clinic/Center | 127 Clark St Ste C&d, Grove Hill, AL 36451-3050 | 2016-08-01 |
| 1205294428 | Red Bay Hospital Outpatient Clinics LLC | Clinic/Center | 14490 County Line Road, Suite A, Muscle Shoals, AL 35661 | 2016-02-02 |
| 1972985968 | Athens Limestone Pediatric Center LLC | Clinic/Center | 101 Fitness Way Ste 2100, Athens, AL 35611-2494 | 2015-06-25 |
| 1396125258 | D W Mcmillan Memorial Hospital | Clinic/Center | 1674 Cleveland Ave, Castleberry, AL 36432 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 35042 |
Please comment or provide details below to improve the information on CAHABA MEDICAL CARE OF AL., LLC.
| 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.