Organization Active NPI

Southern Orthopaedic Alliance, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Anniston, AL
National Provider Identifier
1144092669
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SOUTHERN ORTHOPAEDIC ALLIANCE, PLLC
Practice address
731 Leighton Ave Ste 300
Anniston, AL 36207-5762
Phone
(256) 236-4121
Fax
(256) 237-5254
NPI assigned
Oct 27, 2023
Last updated
Oct 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Joseph Grant Zarzour, MD
Title
Principal Physician
Phone
(251) 654-3798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

731 Leighton Ave Ste 300
Anniston, AL 36207-5762

Mailing address

PO Box 117709
Atlanta, GA 30368-7709
Phone (253) 236-4121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240709001826 AL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2365800604 Practice locations: Anniston, AL

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Southern Orthopaedic Alliance PLLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

731 Leighton Ave
Ste 300
Anniston, AL 36207
Phone (205) 236-4121

NPI Registry JSON

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1144092669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117709",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687709",
            "telephone_number": "253-236-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 LEIGHTON AVE STE 300",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075762",
            "telephone_number": "256-236-4121",
            "fax_number": "256-237-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ORTHOPAEDIC ALLIANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "ZARZOUR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "PRINCIPAL PHYSICIAN",
        "authorized_official_telephone_number": "251-654-3798",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 27, 2023; 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.