Shoals Orthopedics and Sports Medicine

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SHOALS ORTHOPEDICS AND SPORTS MEDICINE

Practice address

426 W College St
Florence, AL 35630-5521

Phone

(256) 718-4041

Fax

(256) 718-3665

NPI assigned

Aug 17, 2012

Organization subpart

No

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

Authorized official

Name

Lee Nichols Jr., MD

Title

President

Phone

(256) 718-4041

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SHOALS ORTHOPEDICS Former legal business name

Tax ID family

Shoals Orthopedics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Shoals Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Muscle Shoals, AL
  • NPI 1760738199
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8452/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1194073395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 W COLLEGE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305521",
            "telephone_number": "256-718-4041",
            "fax_number": "256-718-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 W COLLEGE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305521",
            "telephone_number": "256-718-4041",
            "fax_number": "256-718-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS ORTHOPEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-718-4041",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529911910",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCIARE DMERC",
            "identifier": "4562760001",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOALS ORTHOPEDICS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Shoals Hearing Clinic, P.C.
• Shoals Home Services, LLC
• Shoals Hospice LLC
• Shoals Neurology Clinic PC
• Shoals Obstetrics and Gynecology LLC
• Shoals Orthopedics, PC
• Shoals Orthotics & Prosthetics,Inc
• Shoals Pediatric Dentistry, P.C.
• Shoals Pediatric Group PC
• Shoals Senior Solutions

• Orthopaedic Surgery Physician in Florence, AL
• Providers in Florence, AL by specialty
• Orthopaedic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.