Central Alabama Internal Medicine Associates PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CENTRAL ALABAMA INTERNAL MEDICINE ASSOCIATES PA

Practice address

2055 East South Blvd
Suite 512
Montgomery, AL 36116-2014

Phone

(334) 288-8405

Fax

(334) 284-2271

NPI assigned

Dec 11, 2006

Last updated

Jun 17, 2010By 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

Winston Tacker Edwards, MD

Title

President

Phone

(334) 288-8405

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Carmelita Guinto Prieto Dejesus, MD

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1295800654
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1376603274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 EAST SOUTH BLVD",
            "address_2": "SUITE 512",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162014",
            "telephone_number": "334-288-8405",
            "fax_number": "334-284-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 EAST SOUTH BLVD",
            "address_2": "SUITE 512",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162014",
            "telephone_number": "334-288-8405",
            "fax_number": "334-284-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ALABAMA INTERNAL MEDICINE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_middle_name": "TACKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-288-8405",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ3376",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Alabama Aging Consortium
• Central Alabama Audiology Center, LLC
• Central Alabama Child Neurology, P.C.
• Central Alabama ENT Associates
• Central Alabama Health Care System
• Central Alabama Kidney and Hypertension Center, P.C.
• Central Alabama OBGYN & Associates
• Central Alabama Pain Management Center, P.C.
• Central Alabama Pain Management Center, P.C.
• Central Alabama Primary and Urgent Care Associates

• Internal Medicine Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.