Organization Active NPI

Northeast Alabama Surgical Associates

  • Registered Nurse First Assistant
  • Eastaboga, AL
National Provider Identifier
1073026365
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
Legal business name
NORTHEAST ALABAMA SURGICAL ASSOCIATES
Practice address
961 Airport Rd
Eastaboga, AL 36260-7023
Phone
(256) 310-7972
Fax
(256) 835-4728
NPI assigned
Nov 9, 2017
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Patricia Payne Morris, CRNFA, CSA, CNORNPI 1386937043
Title
Ceo
Phone
(256) 310-7972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 163WR0006X Primary

Addresses

Primary practice location

961 Airport Rd
Eastaboga, AL 36260-7023

Mailing address

961 Airport Rd
Eastaboga, AL 36260-7023
Phone (256) 310-7972

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL pamorris@tanner.org Health Information Exchange (HIE) Tanner Medical Center, Inc

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1073026365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 AIRPORT RD",
            "city": "EASTABOGA",
            "state": "AL",
            "postal_code": "362607023",
            "telephone_number": "256-310-7972",
            "fax_number": "256-835-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 AIRPORT RD",
            "city": "EASTABOGA",
            "state": "AL",
            "postal_code": "362607023",
            "telephone_number": "256-310-7972",
            "fax_number": "256-835-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ALABAMA SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "PAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-310-7972",
        "authorized_official_credential": "CRNFA, CSA, CNOR"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pamorris@tanner.org",
            "affiliation": "Y",
            "affiliationName": "Tanner Medical Center, Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "705 Dixie St",
            "city": "Carrollton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301173818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eastaboga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.