Active NPI
Adult & Pediatric Medicine PC
- Pediatrics Physician
- Montgomery, AL
National Provider Identifier
1073548004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- ADULT & PEDIATRIC MEDICINE PC
- Practice address
- 4825 Virginia Loop Rd
Montgomery, AL 36116 - Phone
- (334) 286-9772
- Fax
- (334) 284-9828
- NPI assigned
- Jul 11, 2006
- Last updated
- Jul 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leatha Barber Morgan, MD
- Title
- Vice President
- Phone
- (334) 284-9772
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | |||
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
4825 Virginia Loop Rd
Montgomery, AL 36116
Mailing address
4825 Virginia Loop Rd
Montgomery, AL 36116
Phone (334) 286-9772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000083670 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
4825 Virginia Loop Rd
Montgomery, AL 36116
Phone (334) 284-9772
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Pediatrics Physician
- Montgomery, AL
- NPI 1326174020
-
- Family Nurse Practitioner
- Hamtramck, MI
- NPI 1922662501
-
- Family Nurse Practitioner
- Hamtramck, MI
- NPI 1427723394
-
- Family Medicine Physician
- Hamtramck, MI
- NPI 1518987544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309478400000",
"number": "1073548004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 VIRGINIA LOOP RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36116",
"telephone_number": "334-286-9772",
"fax_number": "334-284-9828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4825 VIRGINIA LOOP RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36116",
"telephone_number": "334-286-9772",
"fax_number": "334-284-9828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADULT & PEDIATRIC MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2011-07-01",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "LEATHA",
"authorized_official_middle_name": "BARBER",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "334-284-9772",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000083670",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
- Shanon Adedokun, LPC
- ADHD Therapy Center
- Melchisedec Adobah
- Adolescent & Pediatric Associates
- Adph - Women Health Services
- Advanced Dermatology of Alabama, Inc.
- Advanced Diagnostic Services, LLC
- Advanced Foot Care PC
- Advanced Medical Imaging Center, Inc. (Advanced Medical Imaging)
- Advanced Orthopedic Surgical Specialists
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.