J. Randall Pitts, M.D., P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

5420 Issued in AL

Legal business name

J. RANDALL PITTS, M.D., P.C.

Practice address

109 Medical Center Dr
Clanton, AL 35045-2331

Phone

(205) 755-2296

Fax

(205) 755-9378

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

James Randall Pitts, M.D.NPI 1952317364

Title

President

Phone

(205) 755-2296

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Randall Pitts, MD

  • Ophthalmology Physician
  • Alabaster, AL
  • NPI 1952317364

  AL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1164501466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MEDICAL CENTER DR",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452331",
            "telephone_number": "205-755-2296",
            "fax_number": "205-755-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MEDICAL CENTER DR",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452331",
            "telephone_number": "205-755-2296",
            "fax_number": "205-755-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. RANDALL PITTS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-755-2296",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AL",
            "license": "5420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000005038",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Suzanne Jarvis, RPT
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• All providers in Clanton, AL
• Medical Specialty Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.