NPIMap

Organization Active NPI

Charles L. Lett, M D P C

  • Surgery Physician
  • Selma, AL
National Provider Identifier
1104944198
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
8713 Issued in AL
Legal business name
CHARLES L. LETT, M D P C
Practice address
1013 Medical Center Pkwy
Building 1 Suite a
Selma, AL 36701-6742
Phone
(334) 875-4374
Fax
(334) 875-4374
NPI assigned
Mar 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles Leonard Lett, MDNPI 1437233186
Title
President
Phone
(334) 875-4374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 8713 AL Primary

Addresses

Primary practice location

1013 Medical Center Pkwy
Building 1 Suite a
Selma, AL 36701-6742

Mailing address

1013 Medical Center Pkwy
Building 1 Suite a
Selma, AL 36701-6742
Phone (334) 875-4374

Other identifiers 1

IdentifierTypeStateIssuer
51002287OtherALBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1013 Medical Center Pkwy
Ste A
Selma, AL 36701
Phone (334) 875-4374

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104944198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 MEDICAL CENTER PKWY",
            "address_2": "BUILDING 1 SUITE A",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016742",
            "telephone_number": "334-875-4374",
            "fax_number": "334-875-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 MEDICAL CENTER PKWY",
            "address_2": "BUILDING 1 SUITE A",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016742",
            "telephone_number": "334-875-4374",
            "fax_number": "334-875-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES L. LETT, M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LETT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-875-4374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "8713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51002287",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.