Organization Active NPI

Center for Adult Medicine & Hypertension, PC

  • Primary Care Clinic/Center
  • Huntsville, AL
National Provider Identifier
1194958124
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Aug 26, 2009

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20110823000920 AL Part B Supplier - Clinic/Group Practice 3274689559 Receives reassigned benefits from 1 practitioner
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Locations

411 Engle Dr SW
Huntsville, AL 35801
Phone (256) 533-3525

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.