NPIMap

Organization Active NPI

Charles T Nevels MD PC

  • Geriatric Psychiatry Physician
  • Tuscaloosa, AL
National Provider Identifier
1346314366
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
00025226 Issued in AL
Legal business name
CHARLES T NEVELS MD PC
Practice address
4406 Oxford Gate Dr
Tuscaloosa, AL 35405-4767
Phone
(205) 556-8391
Fax
(205) 553-3323
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Authorized official

Name
Charles Thomas Nevels, MDNPI 1881755619
Title
Owner
Phone
(205) 556-8391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X 00025226 AL
Geriatric Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0805X 00025226 AL Primary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X 00025226 AL

Addresses

Primary practice location

4406 Oxford Gate Dr
Tuscaloosa, AL 35405-4767

Mailing address

PO Box 40204
Tuscaloosa, AL 35404-0204
Phone (205) 556-8391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051213000737 AL Part B Supplier - Clinic/Group Practice 5890716294 Receives reassigned benefits from 1 practitioner
Practice locations: Hueytown, AL; Tuscaloosa, AL; Pleasant Grove, AL; Pell City, AL; Northport, AL; McCalla, AL; MC Calla, AL; Eutaw, AL…

National Provider Directory

National Provider Directory

Locations

1424 25th St N
Birmingham, AL 35234
Phone (205) 328-5870

190 Brooklane Dr
Hueytown, AL 35023
Phone (205) 491-2905

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1346314366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40204",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354040204",
            "telephone_number": "205-556-8391",
            "fax_number": "205-553-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 OXFORD GATE DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354054767",
            "telephone_number": "205-556-8391",
            "fax_number": "205-553-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES T NEVELS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "NEVELS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-556-8391",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "00025226",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "AL",
            "license": "00025226",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AL",
            "license": "00025226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.