Cardiovascular Institute of the Shoals PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIOVASCULAR INSTITUTE OF THE SHOALS PC

Practice address

2095 Florence Blvd
Florence, AL 35630-2751

Phone

(256) 766-2310

Fax

(256) 768-9956

NPI assigned

Apr 5, 2011

Organization subpart

No

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

Authorized official

Name

Ajit Naidu, MDNPI 1912904913

Title

President

Phone

(256) 766-2310

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• NORTHWEST ALABAMA MEDICAL ASSOCIATES Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

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

• Ajit Kamalakarrao Naidu, MD

  • Cardiovascular Disease Physician
  • Florence, AL
  • NPI 1912904913
  Medicare reassignment Authorized official
• Susan Warren Bentley, CRNP

  • Nurse Practitioner
  • Florence, AL
  • NPI 1194702969
  Medicare reassignment NPD
• Sherry Mayes Clounch, AGACNP

  • Acute Care Nurse Practitioner
  • Athens, AL
  • NPI 1538617741
  Medicare reassignment NPD
• Amy Beth Hall, CRNP

  • Family Nurse Practitioner
  • Florence, AL
  • NPI 1265815732
  Medicare reassignment NPD
• Peter J Jensen, MD

  • Family Medicine Physician
  • Florence, AL
  • NPI 1831194471
  Medicare reassignment NPD
• Tonia M Long, C.R.N.P.

  • Family Nurse Practitioner
  • Muscle Shoals, AL
  • NPI 1801837729
  Medicare reassignment NPD
• Angelina Alejandrino Orgera, M.D.

  • Hospitalist Physician
  • Mobile, AL
  • NPI 1265543094
  Medicare reassignment NPD
• Brian Cole, M.D.

  • Interventional Cardiology Physician
  • Lawrenceburg, TN
  • NPI 1861597916

  AL

  Medicare reassignment NPD
• Pearl Govea, M.D.

  • Family Medicine Physician
  • Hoover, AL
  • NPI 1336123587
  NPD (past)

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1003105644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 FLORENCE BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302751",
            "telephone_number": "256-766-2310",
            "fax_number": "256-768-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 FLORENCE BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302751",
            "telephone_number": "256-766-2310",
            "fax_number": "256-768-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR INSTITUTE OF THE SHOALS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "NAIDU",
        "authorized_official_first_name": "AJIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-766-2310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DR6493",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128073",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWEST ALABAMA MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTHWEST ALABAMA MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roberta Campbell
• Kimberly F. Canaday, CRNP
• Savanna Canter
• Emily Cantrell
• Maria Alejandra Caravedo Martinez, M.D
• Caregivers of the Shoals LLC
• Caring Hearts Home Care LLC
• Caring Hearts Tuscaloosa LLC
• Bailey Russell Carroll, D.C.
• Lakeva Casey

• Cardiovascular Disease Physician in Florence, AL
• Providers in Florence, AL by specialty
• Cardiovascular Disease Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.