Active NPI
Center for Adult Medicine & Hypertension, PC
- Primary Care Clinic/Center
- Huntsville, AL
National Provider Identifier
1194958124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CENTER FOR ADULT MEDICINE & HYPERTENSION, PC
- Practice address
- 411 Engle Dr SW
Huntsville, AL 35801-5119 - Phone
- (256) 533-3525
- NPI assigned
- Aug 25, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vivian Aboko-Cole Hicks, M.D.
- Title
- Pres/Ceo
- Phone
- (256) 533-3525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
411 Engle Dr SW
Huntsville, AL 35801-5119
Mailing address
411 Engle Dr SW
Huntsville, AL 35801-5119
Phone (256) 533-3525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
411 Engle Dr SW
Huntsville, AL 35801
Phone (256) 533-3525
Interoperability endpoints
- https://api.platform.athenahealth.com/17352/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Huntsville, AL
- NPI 1316023708
-
- Acute Care Nurse Practitioner
- Huntsville, AL
- NPI 1427439884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251244800000",
"number": "1194958124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 ENGLE DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015119",
"telephone_number": "256-533-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 ENGLE DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015119",
"telephone_number": "256-533-3525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR ADULT MEDICINE & HYPERTENSION, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-25",
"last_updated": "2009-08-26",
"status": "A",
"authorized_official_last_name": "HICKS",
"authorized_official_first_name": "VIVIAN",
"authorized_official_middle_name": "ABOKO-COLE",
"authorized_official_title_or_position": "PRES/CEO",
"authorized_official_telephone_number": "256-533-3525",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.