Active NPI
Haleyville Medical Associates Inc
- Family Medicine Physician
- Haleyville, AL
National Provider Identifier
1104922368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HALEYVILLE MEDICAL ASSOCIATES INC
- Practice address
- 42320 Hwy 195
Haleyville, AL 35565-7015 - Phone
- (205) 486-8899
- Fax
- (205) 486-8908
- NPI assigned
- Sep 15, 2006
- 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
- Vijaya V Reddy, CPC, BA
- Title
- Practice Manager
- Phone
- (205) 486-8899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
42320 Hwy 195
Haleyville, AL 35565-7015
Mailing address
42320 Hwy 195
Haleyville, AL 35565-7015
Phone (205) 486-8899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR#529925490 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051115000484 | AL | Part B Supplier - Clinic/Group Practice | 6507885985 |
Receives reassigned benefits from 17 practitioners Practice locations: Double Springs, AL; Haleyville, AL |
National Provider Directory
National Provider DirectoryLocations
26279 Highway 195
Double Springs, AL 35553
Phone (205) 489-3322
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Haleyville, AL
- NPI 1245326933
AL, Family Medicine
-
- Family Medicine Physician
- Haleyville, AL
- NPI 1417041047
AL, Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349049600000",
"number": "1104922368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42320 HWY 195",
"city": "HALEYVILLE",
"state": "AL",
"postal_code": "355657015",
"telephone_number": "205-486-8899",
"fax_number": "205-486-8908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42320 HWY 195",
"city": "HALEYVILLE",
"state": "AL",
"postal_code": "355657015",
"telephone_number": "205-486-8899",
"fax_number": "205-486-8908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALEYVILLE MEDICAL ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2012-10-01",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "VIJAYA",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "205-486-8899",
"authorized_official_credential": "CPC, BA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR#529925490",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Haleyville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.