NPIMap

Organization Active NPI

Cilinical Urology Associates, P.C.

  • Urology Physician
  • Oneonta, AL
National Provider Identifier
1174300933
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
CILINICAL UROLOGY ASSOCIATES, P.C.
Practice address
150 Gilbreath Dr
Oneonta, AL 35121-2827
Phone
(256) 492-4040
Fax
(256) 492-4017
NPI assigned
Sep 13, 2023
Last updated
Nov 17, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CILINICAL UROLOGY ASSOCIATES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Kourtney Mayo
Title
Credentialing/Admin Assist
Phone
(256) 492-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

150 Gilbreath Dr
Oneonta, AL 35121-2827

Mailing address

713 Goodyear Ave
Gadsden, AL 35903-1156
Phone (256) 492-4040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040820000950 AL Part B Supplier - Clinic/Group Practice 0749254241 Receives reassigned benefits from 16 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pell City, AL; Oneonta, AL; Jacksonville, AL; Fort Payne, AL; Gadsden, AL; Albertville, AL

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Tax ID family
Clinical Urology Assocs8 organizations share this tax ID, including this one
Part of
Clinical Urology Assocs

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1174300933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031156",
            "telephone_number": "256-492-4040",
            "fax_number": "256-492-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GILBREATH DR",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351212827",
            "telephone_number": "256-492-4040",
            "fax_number": "256-492-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CILINICAL UROLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CILINICAL UROLOGY ASSOCIATES, P.C.",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "KOURTNEY",
        "authorized_official_title_or_position": "CREDENTIALING/ADMIN ASSIST",
        "authorized_official_telephone_number": "256-492-4040"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.