Active NPI
Charles Franklin Giddens, MD
- Family Medicine Physician
- Section, AL
National Provider Identifier
1174676308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00008478
- Practice address
- 60 Main St N
Section, AL 35771-7168 - Phone
- (256) 228-3471
- Fax
- (256) 228-7289
- NPI assigned
- Jan 19, 2007
- Last updated
- Oct 3, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00008478 | AL | Primary |
Addresses
Primary practice location
60 Main St N
Section, AL 35771-7168
Mailing address
309 Taylor St
Scottsboro, AL 35768-2421
Phone (256) 259-5313
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051516402 | Other | AL | BLUE CROSS BLUE SHIELD |
| 630303040 | Medicaid | AL | |
| 630309040 | Medicaid | AL | |
| 051516405 | Other | AL | BLUE CROSS BLUE SHIELD |
| 630306040 | Medicaid | AL | |
| 051516400 | Other | AL | BLUE CROSS BLUE SHIELD |
| 051516404 | Other | AL | BLUE CROSS BLUE SHIELD |
| 105287 | Medicaid | AL | |
| 051516403 | Other | AL | BLUE CROSS BLUE SHIELD |
| 105220 | Medicaid | AL | |
| 630302040 | Medicaid | AL | |
| 630307040 | Medicaid | AL | |
| 630308040 | Medicaid | AL | |
| 051516401 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00008478 | AL | MD | Family Medicine Physician |
Interoperability endpoints
- charles.giddens@neahsi.directbygreenway.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1174676308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 TAYLOR ST",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357682421",
"telephone_number": "256-259-5313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MAIN ST N",
"city": "SECTION",
"state": "AL",
"postal_code": "357717168",
"telephone_number": "256-228-3471",
"fax_number": "256-228-7289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIDDENS",
"first_name": "CHARLES",
"middle_name": "FRANKLIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "00008478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "051516402",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630303040",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630309040",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "051516405",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630306040",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "051516400",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "051516404",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105287",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "051516403",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105220",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630302040",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630307040",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630308040",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "051516401",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Section, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.