Organization Active NPI

Hamo Neurology Clinic

  • Neurology Physician
  • Sylacauga, AL
National Provider Identifier
1033205679
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
19011 Issued in AL
Legal business name
HAMO NEUROLOGY CLINIC
Practice address
1263 Talladega Hwy
Sylacauga, AL 35150-1604
Phone
(256) 249-0091
Fax
(256) 249-0024
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Mrs. Laura E Taunton
Title
Manager
Phone
(256) 249-0091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 19011 AL Primary

Addresses

Primary practice location

1263 Talladega Hwy
Sylacauga, AL 35150-1604

Mailing address

1263 Talladega Hwy
Sylacauga, AL 35150-1604
Phone (256) 249-0091

Other identifiers 1

IdentifierTypeStateIssuer
529908170MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041019001347 AL Part B Supplier - Clinic/Group Practice 2163483553 Receives reassigned benefits from 1 practitioner
Practice locations: Alex City, AL; Sylacauga, AL

National Provider Directory

National Provider Directory

Locations

1397 Dadeville Rd
Alexander City, AL 35010
Phone (256) 234-9931

1263 Talladega Hwy
Sylacauga, AL 35150
Phone (256) 249-0091

Practitioners & affiliated clinicians

Practitioners 2

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1033205679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 TALLADEGA HWY",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351501604",
            "telephone_number": "256-249-0091",
            "fax_number": "256-249-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 TALLADEGA HWY",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351501604",
            "telephone_number": "256-249-0091",
            "fax_number": "256-249-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMO NEUROLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "TAUNTON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "256-249-0091",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "19011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529908170",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.