NPIMap

Organization Active NPI

Southeastern Cardiology Consultants

  • Specialist
  • Montgomery, AL
National Provider Identifier
1114080926
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7842 Issued in AL
Legal business name
SOUTHEASTERN CARDIOLOGY CONSULTANTS
Practice address
2055 E South Blvd
Suite 403
Montgomery, AL 36116
Phone
(334) 613-0807
Fax
(334) 386-4175
NPI assigned
Dec 19, 2006
Last updated
Dec 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Karen W McCaa
Title
Practice Manager
Phone
(334) 590-7945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 7842 AL Primary

Addresses

Primary practice location

2055 E South Blvd
Suite 403
Montgomery, AL 36116

Mailing address

2055 E South Blvd
Suite 403
Montgomery, AL 36116
Phone (334) 613-0807

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040517000546 AL Part B Supplier - Clinic/Group Practice 0840280368 Receives reassigned benefits from 10 practitioners
Practice locations: Selma, AL; Montgomery, AL; Luverne, AL

National Provider Directory

National Provider Directory

Locations

440 Taylor Rd
Ste 3150
Montgomery, AL 36117
Phone (334) 277-7727

440 Taylor Rd
Ste 3300A
Montgomery, AL 36117
Phone (334) 260-9144

440 Taylor Rd
Ste 3300B
Montgomery, AL 36117
Phone (334) 264-7117

645 McQueen Smith Rd N
Ste 206
Prattville, AL 36066
Phone (334) 358-4200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23210/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 12

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1114080926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD",
            "address_2": "SUITE 403",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36116",
            "telephone_number": "334-613-0807",
            "fax_number": "334-386-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD",
            "address_2": "SUITE 403",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36116",
            "telephone_number": "334-613-0807",
            "fax_number": "334-386-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN CARDIOLOGY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "MCCAA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "334-590-7945"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "7842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.