Organization Active NPI

Anniston Orthopedics Associates PA

  • Orthopaedic Surgery Physician
  • Anniston, AL
National Provider Identifier
1114916681
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ANNISTON ORTHOPEDICS ASSOCIATES PA
Practice address
731 Leighton Ave
Ste 300
Anniston, AL 36207-5762
Phone
(256) 236-4121
Fax
(256) 237-5254
NPI assigned
Oct 18, 2005
Last updated
Feb 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Mr. William Chad PrinceNPI 1275562654
Title
Adminstrator
Phone
(256) 236-4121

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
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

731 Leighton Ave
Ste 300
Anniston, AL 36207-5762

Mailing address

PO Box 1765
Anniston, AL 36202-1765
Phone (256) 236-4121

Other identifiers 1

IdentifierTypeStateIssuer
000060041MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040124000279 AL Part B Supplier - Clinic/Group Practice 3870495294 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Anniston, AL; Oxford, AL; Pell City, AL; Roanoke, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1400 Highway Dr
Ste C
Oxford, AL 36203
Phone (205) 900-2000

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1445

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1114916681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1765",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362021765",
            "telephone_number": "256-236-4121",
            "fax_number": "256-237-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 LEIGHTON AVE",
            "address_2": "STE 300",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075762",
            "telephone_number": "256-236-4121",
            "fax_number": "256-237-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNISTON ORTHOPEDICS ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "256-236-4121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000060041",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.