Organization Active NPI

North River Internal Medicine

  • Internal Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1376035543
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTH RIVER INTERNAL MEDICINE
Practice address
100 Rice Mine Rd N Suite 150
Tuscaloosa, AL 35406-2375
Phone
(205) 764-2362
Fax
(205) 333-4660
NPI assigned
Jun 4, 2018
Last updated
Dec 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Dr. James B Wilhite, MDNPI 1043329808
Title
Medical Doctor
Phone
(205) 764-2362

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

100 Rice Mine Rd N Suite 150
Tuscaloosa, AL 35406-2375

Mailing address

1110 Dr. Edward Hillard Drive Suite a
Tuscaloosa, AL 35401-7446
Phone (205) 333-4655

Other identifiers 3

IdentifierTypeStateIssuer
216663MedicaidAL
222956MedicaidAL
216168MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180815000383 AL Part B Supplier - Clinic/Group Practice 5496004087 Receives reassigned benefits from 1 practitioner
Practice locations: Tuscaloosa, AL

National Provider Directory

National Provider Directory

Locations

5500 Rice Mine Rd NE
Tuscaloosa, AL 35406
Phone (205) 764-2362

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": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1376035543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 DR. EDWARD HILLARD DRIVE SUITE A",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017446",
            "telephone_number": "205-333-4655",
            "fax_number": "205-333-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD N SUITE 150",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062375",
            "telephone_number": "205-764-2362",
            "fax_number": "205-333-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RIVER INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "WILHITE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "205-764-2362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216663",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222956",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216168",
            "state": "AL"
        }
    ],
    "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 Dec 17, 2020; 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.