Organization Active NPI

Camandjam LLC

Doing business as Carmella Anderson MD

  • Family Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1124293725
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AL14587 Issued in AL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Carmella Anderson, M.D.NPI 1922115765
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.