NPIMap

Individual provider Active NPI

Huey Randolph Kidd, DO

  • Family Medicine Physician
  • Thomasville, AL
National Provider Identifier
1265427090
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-0546 Issued in AL
Practice address
33650 Highway 43
Thomasville, AL 36784-3305
Phone
(334) 636-5311
Fax
(334) 636-2280
NPI assigned
Sep 19, 2005
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO-0546 AL Primary

Addresses

Primary practice location

33650 Highway 43
Thomasville, AL 36784-3305

Mailing address

24B Camden Byp
Camden, AL 36726-1770
Phone (334) 882-1919

Other identifiers 1

IdentifierTypeStateIssuer
541393401MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111212000278 AL Practitioner - Family Practice 5294633897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Care of ClarkeGroup PAC ID 2961809736, 9 clinicians

Practice addresses (Care Compare)

24 B Camden Byp
Camden, AL 36726-1770
Phone (334) 882-1919

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO-0546ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Care of Clarke CurrentSince Jul 1, 2023 Accepting new patients
Physicians Care of Clarke CurrentSince Jul 1, 2023 Accepting new patients
Arabella Health & Wellness of Butler Opco LLC Past Accepting new patients
Physicians Care of Clarke Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Past Accepting new patients
Southwest Alabama Emergency Physicians, LLC Past Accepting new patients

Locations

24 Camden Byp
#B
Camden, AL 36726
Phone (334) 882-1919

127 Clark St
Grove Hill, AL 36451
Phone (251) 275-1268

127 Clark St
Ste Cd
Grove Hill, AL 36451
Phone (251) 275-1268

31431 AL Highway 10
Sweet Water, AL 36782
Phone (334) 636-5311

33621 Highway 43
Thomasville, AL 36784
Phone (334) 636-5311

33650 Highway 43
Thomasville, AL 36784
Phone (334) 636-4403

33650 Highway 43
Ste 300
Thomasville, AL 36784
Phone (334) 636-0757

Interoperability endpoints

  • Direct secure messaging: hueykidd@huey.kidd.directbygreenway.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1265427090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24B CAMDEN BYP",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367261770",
            "telephone_number": "334-882-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33650 HIGHWAY 43",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367843305",
            "telephone_number": "334-636-5311",
            "fax_number": "334-636-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "HUEY",
        "middle_name": "RANDOLPH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO-0546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541393401",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, AL

Sources for this page

Verify at the official NPI Registry.