NPIMap

Organization Active NPI

Charles B. Lovelady, M.D., L.L.C.

  • Surgery Physician
  • Scottsboro, AL
National Provider Identifier
1174829089
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD13720 Issued in AL
Legal business name
CHARLES B. LOVELADY, M.D., L.L.C.
Practice address
509 Burlington St
Scottsboro, AL 35768-4216
Phone
(256) 259-4817
Fax
(256) 259-2075
NPI assigned
Feb 10, 2011
Last updated
Feb 10, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
JACKSON COUNTY HEALTHCARE AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
Dr. Charles Lovelady, M.D.NPI 1669496626
Title
Medical Officer
Phone
(256) 259-4817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD13720 AL Primary

Addresses

Primary practice location

509 Burlington St
Scottsboro, AL 35768-4216

Mailing address

PO Box 1050
Scottsboro, AL 35768-1050
Phone (256) 218-3856

Other identifiers 2

IdentifierTypeStateIssuer
112843MedicaidAL
51049416OtherALBLUE CROSS

Other names 1

  • Charles B Lovelady MD Other name

National Provider Directory

National Provider Directory
Part of
Subba R Alapati MD

Practitioners & affiliated clinicians

Practitioners 4

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": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1174829089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1050",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357681050",
            "telephone_number": "256-218-3856",
            "fax_number": "256-218-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 BURLINGTON ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684216",
            "telephone_number": "256-259-4817",
            "fax_number": "256-259-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES B. LOVELADY, M.D., L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACKSON COUNTY HEALTHCARE AUTHORITY",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "LOVELADY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MEDICAL OFFICER",
        "authorized_official_telephone_number": "256-259-4817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD13720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112843",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51049416",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles B Lovelady MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.