NPIMap

Organization Active NPI

Go Medical Corporation PC

Doing business as Go Medical

  • Internal Medicine Physician
  • Boaz, AL
National Provider Identifier
1073027876
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GO MEDICAL CORPORATION PC
Doing business as
Go Medical
Practice address
603B Medical Center Pkwy
Boaz, AL 35957-5937
Phone
(256) 558-6000
Fax
(256) 907-9222
NPI assigned
Dec 1, 2017
Last updated
Mar 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Authorized official

Name
Rommel C Go, MDNPI 1477548469
Title
Medical Director
Phone
(256) 558-6000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

603B Medical Center Pkwy
Boaz, AL 35957-5937

Mailing address

603 Medical Center Pkwy
Boaz, AL 35957-5937
Phone (256) 558-6000

Other names 1

  • Go Medical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180514001122 AL Part B Supplier - Clinic/Group Practice 0648534982 Receives reassigned benefits from 16 practitioners
Practice locations: Boaz, AL

National Provider Directory

National Provider Directory
Tax ID family
Go Medical Corporation PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

603 Medical Center Pkwy
Boaz, AL 35957
Phone (256) 558-6000

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1073027876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 MEDICAL CENTER PKWY",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575937",
            "telephone_number": "256-558-6000",
            "fax_number": "800-541-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603B MEDICAL CENTER PKWY",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575937",
            "telephone_number": "256-558-6000",
            "fax_number": "256-907-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO MEDICAL CORPORATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "GO",
        "authorized_official_first_name": "ROMMEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "256-558-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Go Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boaz, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.