Organization Active NPI

Neurology Clinic, P.C.

  • Specialist
  • Northport, AL
National Provider Identifier
1003982208
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8700 Issued in AL
Legal business name
NEUROLOGY CLINIC, P.C.
Practice address
1325 McFarland Blvd
Suite 201
Northport, AL 35476-3270
Phone
(205) 333-2626
Fax
(205) 333-8718
NPI assigned
Nov 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Teneshia K Davis
Title
Administrative Assistant
Phone
(205) 333-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8700 AL Primary

Addresses

Primary practice location

1325 McFarland Blvd
Suite 201
Northport, AL 35476-3270

Mailing address

1325 McFarland Blvd
Suite 201
Northport, AL 35476-3270
Phone (205) 333-2626

Other identifiers 1

IdentifierTypeStateIssuer
510-11377OtherALBCBS

National Provider Directory

National Provider Directory

Locations

1325 McFarland Blvd
Ste 20
Northport, AL 35476
Phone (205) 333-2626

1325 McFarland Blvd
Ste 202
Northport, AL 35476
Phone (205) 333-2626

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEACAA

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003982208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 MCFARLAND BLVD",
            "address_2": "SUITE 201",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763270",
            "telephone_number": "205-333-2626",
            "fax_number": "205-333-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 MCFARLAND BLVD",
            "address_2": "SUITE 201",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763270",
            "telephone_number": "205-333-2626",
            "fax_number": "205-333-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TENESHIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "205-333-2626",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "8700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-11377",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.