Individual provider Active NPI

Walter P Pinson, M.D.

  • Internal Medicine Physician
  • Sylacauga, AL
National Provider Identifier
1285648048
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5979 Issued in AL
Practice address
209 W Spring St
Suite 200
Sylacauga, AL 35150-2973
Phone
(256) 245-5241
Fax
(256) 245-0194
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5979 AL Primary

Addresses

Primary practice location

209 W Spring St
Suite 200
Sylacauga, AL 35150-2973

Mailing address

209 W Spring St
Suite 200
Sylacauga, AL 35150-2973
Phone (256) 245-5241

Other identifiers 3

IdentifierTypeStateIssuer
110229295OtherALRAILROAD MEDICARE
009971320MedicaidAL
51078540OtherALBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330001201 AL Practitioner - Internal Medicine 6103875836 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5979ALMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Craddock Health Center P C Internal Medicine CurrentSince Jan 1, 2002 Accepting new patients

Locations

209 W Spring St
Ste 200
Sylacauga, AL 35150
Phone (256) 245-5238

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1285648048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST",
            "address_2": "SUITE 200",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502973",
            "telephone_number": "256-245-5241",
            "fax_number": "256-245-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST",
            "address_2": "SUITE 200",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502973",
            "telephone_number": "256-245-5241",
            "fax_number": "256-245-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSON",
        "first_name": "WALTER",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "5979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110229295",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009971320",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51078540",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

Verify at the official NPI Registry.