NPIMap

Organization Active NPI

Waddell Center Family Medicine

  • Family Medicine Physician
  • Athens, AL
National Provider Identifier
1003006289
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WADDELL CENTER FAMILY MEDICINE
Practice address
902 W Washington St
Athens, AL 35611-2438
Phone
(256) 216-9777
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Randy Comer
Title
Compliance
Phone
(256) 233-9172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

902 W Washington St
Athens, AL 35611-2438

Mailing address

PO Box 999
Athens, AL 35612-0999
Phone (256) 216-9777

National Provider Directory

National Provider Directory

Locations

902 W Hobbs St
Athens, AL 35611
Phone (205) 771-7575

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1003006289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 999",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356120999",
            "telephone_number": "256-216-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W WASHINGTON ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112438",
            "telephone_number": "256-216-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADDELL CENTER FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "COMER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RANDY",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "256-233-9172"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.