Abc Pediatrics West LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ABC PEDIATRICS WEST LLC

Doing business as

ABC Pediatrics West

Practice address

400 19TH St E
Jasper, AL 35501-5416

Phone

(205) 936-8107

Fax

(205) 512-2548

NPI assigned

Dec 7, 2023

Last updated

Dec 7, 2023By 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

Mrs. Leah Varden Gann, CRNPNPI 1780930826

Title

Certified RN Practitioner

Phone

(205) 936-8107

Specialties & licenses 1

Addresses

Other names 1

• ABC Pediatrics West Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

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.

• Leah Varden Gann, CRNP

  • Family Nurse Practitioner
  • Cullman, AL
  • NPI 1780930826
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1316714512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 19TH ST E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015416",
            "telephone_number": "205-936-8107",
            "fax_number": "205-512-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 19TH ST E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015416",
            "telephone_number": "205-936-8107",
            "fax_number": "205-512-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PEDIATRICS WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "GANN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "VARDEN",
        "authorized_official_title_or_position": "CERTIFIED RN PRACTITIONER",
        "authorized_official_telephone_number": "205-936-8107",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Pediatrics West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Aaron-Wade, RN
• Catherine Aaron
• Jon Aaron, CRNP
• Romalyn Aaron
• Emily Taylor Abbott, OTD, OTR/L
• Adrian Adams, PHARM D
• Carol Lynn Adams, MD
• Dylan Tyler Adams
• Leah Adkins, CRNA
• Syed R Aftab, MD

• Family Medicine Physician in Jasper, AL
• Providers in Jasper, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.