Columbiana Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COLUMBIANA CLINIC LLC

Practice address

22266 Highway 25
Columbiana, AL 35051-8618

Phone

(205) 669-3138

Fax

(205) 669-8718

NPI assigned

Jan 12, 2007

Last updated

Nov 14, 2019By 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

Anthony CiullaNPI 1003868282

Title

Administrator

Phone

(205) 669-3138

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19717/brand/1/csg/1/fhir/r4

Practitioners 8

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.

• Anthony Peter Ciulla, M.D.

  • Family Medicine Physician
  • Columbiana, AL
  • NPI 1003868282
  Medicare reassignment NPD Authorized official
• Megan V Bullard, M.D.

  • Family Medicine Physician
  • Columbiana, AL
  • NPI 1366737884
  Medicare reassignment NPD
• Rhonda Leigh Carter, M.D.

  • Internal Medicine Physician
  • Columbiana, AL
  • NPI 1386656262
  Medicare reassignment NPD
• Jeffrey Scott Davidson, D.O.

  • Family Medicine Physician
  • Columbiana, AL
  • NPI 1619920451
  Medicare reassignment NPD
• Rachel Hughes Davidson, DNP, FNP-BC, CRNA

  • Certified Registered Nurse Anesthetist
  • Vestavia, AL
  • NPI 1255605606
  Medicare reassignment NPD
• Jana Davis Grier, CFNP

  • Family Nurse Practitioner
  • Columbiana, AL
  • NPI 1285903112
  Medicare reassignment NPD
• Sandra King, FNP-BC

  • Family Nurse Practitioner
  • Birmingham, AL
  • NPI 1811651334
  Medicare reassignment NPD
• Thomas N. Nolen, M.D.

  • Family Medicine Physician
  • Columbiana, AL
  • NPI 1306858287
  Medicare reassignment

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1356492904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22266 HIGHWAY 25",
            "city": "COLUMBIANA",
            "state": "AL",
            "postal_code": "350518618",
            "telephone_number": "205-669-3138",
            "fax_number": "205-669-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22266 HIGHWAY 25",
            "city": "COLUMBIANA",
            "state": "AL",
            "postal_code": "350518618",
            "telephone_number": "205-669-3138",
            "fax_number": "205-669-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIANA CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "CIULLA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-669-3138"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Leigh Carter, M.D.
• Charles Frank Chrencik, D.C
• Ciulla Medical Services LLC
• Anthony Peter Ciulla, M.D.
• Melody Joy Collins, FNP-C
• Columbiana Eye Care Inc
• Columbiana Family Dentistry, PC
• Columbiana Health and Rehabilitation, LLC
• David Tyler Cooper, ATC, LAT
• Cornerstone Speech and Language Services

• Family Medicine Physician in Columbiana, AL
• Providers in Columbiana, 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 Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.