Organization Active NPI

Talladega OB-GYN Associates, P C

  • Obstetrics & Gynecology Physician
  • Talladega, AL
National Provider Identifier
1366471567
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
TALLADEGA OB-GYN ASSOCIATES, P C
Practice address
724 Stone Ave
Talladega, AL 35160-2219
Phone
(256) 362-1410
Fax
(256) 362-0186
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Dr. H Byron Phillips, M. D.
Title
President
Phone
(256) 362-1410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X AL Primary

Addresses

Primary practice location

724 Stone Ave
Talladega, AL 35160-2219

Mailing address

724 Stone Ave
Talladega, AL 35160-2219
Phone (256) 362-1410

Other identifiers 1

IdentifierTypeStateIssuer
529002280MedicaidAL

National Provider Directory

National Provider Directory

Locations

1023 W Fort Williams St
Sylacauga, AL 35150
Phone (256) 245-6700

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": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1366471567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 STONE AVE",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602219",
            "telephone_number": "256-362-1410",
            "fax_number": "256-362-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 STONE AVE",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602219",
            "telephone_number": "256-362-1410",
            "fax_number": "256-362-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLADEGA OB-GYN ASSOCIATES, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-362-1410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529002280",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Talladega, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.