Shoals Urological Associates PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

22634 Issued in AL

Legal business name

SHOALS UROLOGICAL ASSOCIATES PC

Practice address

1015 S Jackson Hwy
Sheffield, AL 35660-5760

Phone

(256) 381-5510

Fax

(256) 386-5551

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Deanna M Longmire

Title

Insurance Manager

Phone

(256) 381-5510

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Shoals Urological Associates PC

  • Urology Physician
  • Russellville, AL
  • NPI 1427252253

  O20051110000943

  Same enrollment
• Shoals Urological Associates PC

  • Urology Physician
  • Florence, AL
  • NPI 1518161348

  O20051110000943

  Same enrollment

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/uc30232_shoalsurologicalassociatespc

Practitioners 1

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

• Mark Walker Smith, M.D.

  • Specialist
  • Sheffield, AL
  • NPI 1396715843
  NPD

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1063579787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S JACKSON HWY",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605760",
            "telephone_number": "256-381-5510",
            "fax_number": "256-386-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S JACKSON HWY",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605760",
            "telephone_number": "256-381-5510",
            "fax_number": "256-386-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS UROLOGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "LONGMIRE",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "256-381-5510",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AL",
            "license": "22634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoals Medical Group, LLC
• Shoals Medical Trials, Inc.
• Shoals Pathology Services, LLC
• Shoals Primary Care, LLC
• Shoals Surgical Group LLC
• Mohammad Siddique, M.D.
• Heidi Leeanne Slappey, CRNP
• Melissa Gayle Sledge, LMT
• Mark Walker Smith, M.D.
• SNH Bama Tenant LLC

• Urology Physician in Sheffield, AL
• Providers in Sheffield, AL by specialty
• Urology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.