Organization Active NPI

Gadsden Regional Primary Care LLC

  • Psychiatry Physician
  • Gadsden, AL
National Provider Identifier
1356304125
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GADSDEN REGIONAL PRIMARY CARE LLC
Practice address
300 Medical Center Dr
Ste. 302
Gadsden, AL 35903-1157
Phone
(256) 494-4797
NPI assigned
Apr 11, 2006
Last updated
Nov 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Debbie Brewer
Title
Director of Provider Enrollment
Phone
(615) 465-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

300 Medical Center Dr
Ste. 302
Gadsden, AL 35903-1157

Mailing address

7100 Commerce Way
Suite 180
Brentwood, TN 37027-2829
Phone (615) 465-7000

National Provider Directory

National Provider Directory

Locations

100 Medical Center Dr
Ste 207
Gadsden, AL 35903
Phone (256) 413-6300

100 Medical Center Dr
Ste 401
Gadsden, AL 35903
Phone (205) 237-7659

1026 Goodyear Ave
Ste 103
Gadsden, AL 35903
Phone (256) 492-0773

300 Medical Center Dr
Ste 302
Gadsden, AL 35903
Phone (256) 492-6760

3212 Rainbow Dr
#A
Rainbow City, AL 35906
Phone (256) 442-7683

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1356304125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 COMMERCE WAY",
            "address_2": "SUITE 180",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272829",
            "telephone_number": "615-465-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL CENTER DR",
            "address_2": "STE. 302",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031157",
            "telephone_number": "256-494-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADSDEN REGIONAL PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR OF PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-7000"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.