NPIMap

Organization Active NPI

Decatur Morgan Gastroenterology

  • Medical Specialty Clinic/Center
  • Decatur, AL
National Provider Identifier
1235568577
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
26035 Issued in AL
Legal business name
DECATUR MORGAN GASTROENTEROLOGY
Practice address
1107 14TH Ave SE
Suite 330
Decatur, AL 35601-3309
Phone
(256) 353-4949
NPI assigned
Nov 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Darcell Robinson
Title
Director of Physician Network
Phone
(256) 341-2802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 26035 AL Primary

Addresses

Primary practice location

1107 14TH Ave SE
Suite 330
Decatur, AL 35601-3309

Mailing address

1107 14TH Ave SE
Suite 330
Decatur, AL 35601-3309
Phone (256) 353-4949

Other identifiers 1

IdentifierTypeStateIssuer
158-595-9OtherALECFMG

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1235568577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 14TH AVE SE",
            "address_2": "SUITE 330",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013309",
            "telephone_number": "256-353-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 14TH AVE SE",
            "address_2": "SUITE 330",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013309",
            "telephone_number": "256-353-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR MORGAN GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DARCELL",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN NETWORK",
        "authorized_official_telephone_number": "256-341-2802"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AL",
            "license": "26035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "158-595-9",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.