Madison Valley Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20565 Issued in AL

Legal business name

MADISON VALLEY PEDIATRICS

Practice address

3809 Sullivan St
Ste 5
Madison, AL 35758

Phone

(256) 461-0209

Fax

(256) 772-1506

NPI assigned

Oct 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Beverly D Young

Title

Office Manager

Phone

(256) 461-0209

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Tashawna Thomas Stokes, MD

  • Pediatrics Physician
  • Kennesaw, GA
  • NPI 1861628141
  NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053405316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 SULLIVAN ST",
            "address_2": "STE 5",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "35758",
            "telephone_number": "256-461-0209",
            "fax_number": "256-772-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 SULLIVAN ST",
            "address_2": "STE 5",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "35758",
            "telephone_number": "256-461-0209",
            "fax_number": "256-772-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON VALLEY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-461-0209",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "20565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51000822",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRJACQUELINE C GALES NPI",
            "identifier": "1659348019",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Primary Care LLC (Madison Primary Care)
• Madison Psychiatry Services LLC
• Madison Speech Associates, Inc
• Madison Speech LLC
• Madison Surgery Center, LLC
• Mae Hill Psychiatry, LLC
• Jessica K Magnusson, M.D.
• Indira Shereese Maharaj-Walls
• Spencer James Mahoney, BSW
• Making a Renewed Self (M.A.R.S. Counseling Services)

• Pediatrics Physician in Madison, AL
• Providers in Madison, AL by specialty
• Pediatrics Physician in Alabama

• 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.