Active NPI
James David Surso, M.D.
- General Practice Physician
- Rogersville, AL
National Provider Identifier
1073632774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 19488
- Practice address
- 2975 Highway 101
Rogersville, AL 35652-6049 - Phone
- (256) 247-2007
- Fax
- (256) 247-2008
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 19488 | AL | Primary |
Addresses
Primary practice location
2975 Highway 101
Rogersville, AL 35652-6049
Mailing address
643 County Road 71
Killen, AL 35645-6311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19488 | AL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073632774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "643 COUNTY ROAD 71",
"city": "KILLEN",
"state": "AL",
"postal_code": "356456311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 HIGHWAY 101",
"city": "ROGERSVILLE",
"state": "AL",
"postal_code": "356526049",
"telephone_number": "256-247-2007",
"fax_number": "256-247-2008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURSO",
"first_name": "JAMES",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "19488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogersville, AL
- Southern Rural Health Care Consortium
- Dawn M Standley, PT, DPT
- Star Optometry Al, LLC (InFocus Eyecare)
- Mary Caitlin Stevenson-Wilcoxson, PT, DPT
- Substance Abuse Council of Nortwest Alabama, Inc. (Freedom House)
- Jeffery Scott Thompson
- Tong Shen Chiou
- Kelsey Rea Tucker
- Alan Vines, DMD
- Tiffany Mae Whiteside, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.