Gretchen Hillary Vandiver, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD.38209 Issued in AL

Practice address

2901 Corporate Park Dr
Opelika, AL 36801-7283

Phone

(334) 203-1766

NPI assigned

Jun 15, 2016

Last updated

Mar 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Associates of Auburn

  • Pediatric Adolescent Medicine Physician
  • Opelika, AL
  • NPI 1316099203
  NPD

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1386094811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CORPORATE PARK DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017283",
            "telephone_number": "334-203-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CORPORATE PARK DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017283",
            "telephone_number": "334-203-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDIVER",
        "first_name": "GRETCHEN",
        "middle_name": "HILLARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.38209",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "LL39740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urology Associates of East Alabama LLC (Urology Associates of East Alabama)
• Vaccination Services of Alabama, LLC
• Nojan Valadi, M.D.
• Kimberly Majercik Van Noy, BCBA
• Derek Vandervelde
• Vaxxim Inc.
• Laura Paulina Vega
• Lauren Vick, FNP-C
• Cassandra T Vinson, RN, MMT
• Vision Health Care

• Pediatrics Physician in Opelika, AL
• Providers in Opelika, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.