Organization Active NPI

Eddie G Gaines MD PC

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1215010459
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EDDIE G GAINES MD PC
Practice address
2227 Drake Ave SW
Suite 6
Huntsville, AL 35805-5199
Phone
(256) 882-1881
Fax
(256) 882-3691
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Monica Copeland
Title
Billing MGR
Phone
(256) 882-1881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2227 Drake Ave SW
Suite 6
Huntsville, AL 35805-5199

Mailing address

2227 Drake Ave SW
Suite 6
Huntsville, AL 35805-5199
Phone (256) 882-1881

National Provider Directory

National Provider Directory

Locations

2227 Drake Ave SW
Ste 6
Huntsville, AL 35805
Phone (256) 882-1881

2227 Drake Ave SW
Ste 1
Huntsville, AL 35805
Phone (256) 882-1881

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1215010459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 DRAKE AVE SW",
            "address_2": "SUITE 6",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358055199",
            "telephone_number": "256-882-1881",
            "fax_number": "256-882-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 DRAKE AVE SW",
            "address_2": "SUITE 6",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358055199",
            "telephone_number": "256-882-1881",
            "fax_number": "256-882-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIE G GAINES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "256-882-1881"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Sep 16, 2013; 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.