Organization Active NPI

Hoover Medicine, Inc.

  • Primary Care Clinic/Center
  • Hoover, AL
National Provider Identifier
1174738975
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HOOVER MEDICINE, INC.
Practice address
774 Shades Mountain PLZ
Hoover, AL 35226-1513
Phone
(205) 979-3381
NPI assigned
May 14, 2007
Last updated
Jan 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Regina Hudson
Title
Administrator
Phone
(205) 979-3381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

774 Shades Mountain PLZ
Hoover, AL 35226-1513

Mailing address

774 Shades Mountain PLZ
Hoover, AL 35226-1513
Phone (205) 979-3381

Other practice location 1

3081 Lorna Rd Ste 101
Hoover, AL 35216-4509
Phone (205) 979-3381

Other identifiers 1

IdentifierTypeStateIssuer
529928030MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080826000785 AL Part B Supplier - Clinic/Group Practice 9638244601 Receives reassigned benefits from 4 practitioners
Practice locations: Hoover, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2028603Hoover Family Medicine774 Shades Mountain Plaza, Hoover, AL 35226ComplianceDec 17, 2026

National Provider Directory

National Provider Directory

Locations

3081 Lorna Rd
Ste 101
Hoover, AL 35216
Phone (205) 960-5208

Practitioners & affiliated clinicians

Practitioners 6

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1174738975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 SHADES MOUNTAIN PLZ",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261513",
            "telephone_number": "205-979-3381",
            "fax_number": "205-979-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 SHADES MOUNTAIN PLZ",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261513",
            "telephone_number": "205-979-3381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3081 Lorna Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352164509",
            "country_code": "US",
            "telephone_number": "205-979-3381",
            "fax_number": "205-979-3726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOOVER MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-979-3381"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529928030",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.