Whatley Health Services Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

WHATLEY HEALTH SERVICES INC

Doing business as

James O. Ellis Health Center

Practice address

3532 Greensboro Ave
Tuscaloosa, AL 35401-7002

Phone

(205) 349-3250

Fax

(205) 345-3993

NPI assigned

Aug 30, 2007

Last updated

May 17, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

WHATLEY HEALTH SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Mr. David E Gay Jr.

Title

Ceo

Phone

(205) 758-6647

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JAMES O. ELLIS HEALTH CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

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

• Whatley Health Services Inc

  dba Maude L. Whatley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Tuscaloosa, AL
  • NPI 1063422756

  O20040206000846

  Same enrollment
• Whatley Health Services, Inc

  dba Vernon Health Center

  • Federally Qualified Health Center (FQHC)
  • Vernon, AL
  • NPI 1114101383

  O20040206000846

  Same enrollment
• Whatley Health Services, Inc

  dba Pickens County Family Practice Center

  • Federally Qualified Health Center (FQHC)
  • Gordo, AL
  • NPI 1467874354

  O20040206000846

  Same enrollment
• Whatley Health Services, Inc.

  dba Whatley Health Services at Aliceville

  • Federally Qualified Health Center (FQHC)
  • Aliceville, AL
  • NPI 1295447787

  O20040206000846

  Same enrollment
• Whatley Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Carrollton, AL
  • NPI 1477921864

  O20040206000846

  Same enrollment

Part of

Okaman Health Center

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1063606358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2400",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354032400",
            "telephone_number": "205-758-6647",
            "fax_number": "205-345-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 GREENSBORO AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017002",
            "telephone_number": "205-349-3250",
            "fax_number": "205-345-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHATLEY HEALTH SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHATLEY HEALTH SERVICES, INC",
        "enumeration_date": "2007-08-30",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-758-6647",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630010005",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAMES O. ELLIS HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JAMES O. ELLIS HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Alabama Physician Associates, LLC (SouthEastern Spine)
• West Alabama Women's Center Inc.
• Melanie Lee West, CRNA
• Todd Brooke West, M.D.
• Whatley Health Services Inc (Maude L. Whatley Health Centers)
• Whatley Health Services, Inc
• Whatley Health Services, Inc
• Whatley Health Services, Inc (Mobile Health Unit)
• Whatley Health Services, Inc
• Whatley Health Services, Inc (Maude L. Whatley Health Center)

• Federally Qualified Health Center (FQHC) in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Federally Qualified Health Center (FQHC) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.