NORTHERN ALABAMA PHYSICIANS, LLP (NPI# 1669618310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669618310 |
| Entity Type | Organization |
| Organization Name | NORTHERN ALABAMA PHYSICIANS, LLP |
| Practice Address |
1201 7th Street Southeast Decatur AL 35601-3303 |
| Mailing Address |
Po Box 602162 Charlotte NC 28260-2162 |
| Practice Telephone | 2563412000 |
| Practice Fax Number | 2563412648 |
| Mailing Telephone | 8669165259 |
| Mailing Fax Number | 2319224030 |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2009-05-28 |
| Authorized Official Name | DR. DERIK K KING (LLP MANAGING PARTNER) |
| Authorized Official Telephone | 8669165259 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 1669618310 | 05 | |
| AL | 109022 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952845711 | Northern Alabama Physicians, LLP | Hospitalist | 400 N Edwards St, Enterprise, AL 36330-2510 | 2016-12-14 |
| 1992178628 | Northern Alabama Physicians, LLP | Hospitalist | 4370 W Main St, Dothan, AL 36305-1056 | 2015-11-03 |
| Street Address |
1201 7TH STREET SOUTHEAST |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-3303 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141467 | Viral Solutions LLC | Emergency Medicine | 1752 Moonstone Ct, Decatur, GA 30033-1411 | 2020-07-14 |
| 1881089993 | Tony Bullon | Emergency Medicine | 1834 Clairmont Rd Ste 100, Decatur, GA 30033 | 2015-04-06 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1427347681 | Constance Shamuyarira Richards | Emergency Medicine | 307 Adair St, Unit F3, Decatur, GA 30030-2958 | 2011-03-28 |
| 1215190772 | Stephanie Nicole Scott | Emergency Medicine | 225 Shadowmoor Dr, Decatur, GA 30030-3850 | 2008-07-05 |
| 1639239825 | Michael Anthony Herron | Emergency Medicine | 1501 Richard Stokes Dr, Decatur, GA 30033 | 2006-12-11 |
| 1053412908 | Richard Edward Wild | Emergency Medicine | 1275 Oak Grove Dr, Decatur, GA 30033-2737 | 2006-09-25 |
| 1730283201 | Jerry Edward Robbins II | Emergency Medicine | 2941 Point Mallard Pkwy Se Ste N, Decatur, AL 35603-5760 | 2006-09-12 |
| 1649297656 | Dahlia Hassani | Emergency Medicine | 1010 Scott Blvd, A8, Decatur, GA 30030-1312 | 2006-07-16 |
| 1710911177 | William Larry Sullivan | Emergency Medicine | 4308 Topaz Cir Se, Decatur, AL 35603-5236 | 2006-07-10 |
| Find all providers in DECATUR | ||||
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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.