West Alabama Nephrology, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

9748 Issued in AL

Legal business name

WEST ALABAMA NEPHROLOGY, PC

Practice address

4400 Watermelon Rd
Suite B
Northport, AL 35473-5204

Phone

(205) 345-6302

Fax

(205) 247-4300

NPI assigned

Dec 7, 2006

Last updated

May 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Geoffrey N Alilonu, M.D.NPI 1144295221

Title

Owner

Phone

(205) 345-6302

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Geoffrey Nnamdi Alilonu, M.D.

  • Nephrology Physician
  • Northport, AL
  • NPI 1144295221
  Medicare reassignment Authorized official
• Jasma Dean, CRNP

  • Nurse Practitioner
  • Northport, AL
  • NPI 1679944656
  Medicare reassignment
• Lauren Barton Powell, CRNP

  • Nurse Practitioner
  • Northport, AL
  • NPI 1932678760
  Medicare reassignment
• Samuel Adam Kantor, M.D.

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1316909864
  NPD (past)
• Bryan C Lipsen, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1437150083
  NPD (past)
• Garfield D Ramdeen, MD

  • Nephrology Physician
  • Albuquerque, NM
  • NPI 1922191022
  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1225197197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 WATERMELON RD",
            "address_2": "SUITE B",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735204",
            "telephone_number": "205-345-6302",
            "fax_number": "205-247-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 WATERMELON RD",
            "address_2": "SUITE B",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735204",
            "telephone_number": "205-345-6302",
            "fax_number": "205-247-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ALABAMA NEPHROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "ALILONU",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-345-6302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "9748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103380",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL LICENSE",
            "identifier": "9748",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000037267",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51037267",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL LICENSE",
            "identifier": "28996",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529603880",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "51591962",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Lee Webber, RPH
• Jeffery C Weeks, MD
• Leslie Kinsaul Welch, ATC
• West Alabama Anesthesia LLC
• West Alabama Emergency Physicians, P.C.
• West Alabama Orthopaedic and Sports Medicine, PC
• West Alabama Psychiatric Associate
• West Alabama Regional Commission
• West Alabama Research, Inc.
• West Alabama Speech Pathology Services LLC

• Specialist in Northport, AL
• Providers in Northport, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.