Active NPI
Camandjam LLC
Doing business as Carmella Anderson MD
- Family Medicine Physician
- Tuscaloosa, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- AL14587
- Legal business name
- CAMANDJAM LLC
- Doing business as
- Carmella Anderson MD
- Practice address
- 907A 31St St E
Tuscaloosa, AL 35405-2507 - Phone
- (205) 633-3900
- Fax
- (205) 633-3848
- NPI assigned
- Apr 24, 2008
- Last updated
- Apr 24, 2008
- 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
- Dr. Carmella Anderson, M.D.
- Title
- President
- Phone
- (205) 633-3900
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AL14587 | AL | Primary |
Addresses
Primary practice location
907A 31St St E
Tuscaloosa, AL 35405-2507
Mailing address
907A 31St St E
Tuscaloosa, AL 35405-2507
Phone (205) 633-3900
Other names 1
- CARMELLA ANDERSON MD
National Provider Directory
National Provider DirectoryLocations
907 31st St E
Tuscaloosa, AL 35405
Phone (205) 633-3900
907 31st St E
#A
Tuscaloosa, AL 35405
Phone (205) 331-4369
907A 31st St E
Tuscaloosa, AL 35405
Phone (205) 633-3900
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.
-
- Family Medicine Physician
- Tuscaloosa, AL
- NPI 1922115765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1124293725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907A 31ST ST E",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354052507",
"telephone_number": "205-633-3900",
"fax_number": "205-633-3848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907A 31ST ST E",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354052507",
"telephone_number": "205-633-3900",
"fax_number": "205-633-3848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMANDJAM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "CARMELLA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-633-3900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AL",
"license": "AL14587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CARMELLA ANDERSON MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.