Active NPI
Walter P Pinson, M.D.
- Internal Medicine Physician
- Sylacauga, AL
National Provider Identifier
1285648048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5979
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110229295 | Other | AL | RAILROAD MEDICARE |
| 009971320 | Medicaid | AL | |
| 51078540 | Other | AL | BLUE 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5979 | AL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craddock Health Center P C | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Sylacauga, AL
- NPI 1184669483
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.