Individual provider Active NPI

Janice W Neal, MD

  • Internal Medicine Physician
  • Decatur, AL
National Provider Identifier
1386665198
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00019301 Issued in AL
Practice address
1107 14TH Ave SE
Suite G400
Decatur, AL 35601-3309
Phone
(256) 309-5622
Fax
(256) 309-5696
NPI assigned
Jul 21, 2006
Last updated
Aug 31, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00019301 AL Primary

Addresses

Primary practice location

1107 14TH Ave SE
Suite G400
Decatur, AL 35601-3309

Mailing address

1107 14TH Ave SE
Suite G400
Decatur, AL 35601-3309

Other identifiers 1

IdentifierTypeStateIssuer
51529947OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00019301ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur General Hospital Past Accepting new patients
University of South Alabama Health Services Foundation Past Accepting new patients
Decatur General Hospital Internal Medicine Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1386665198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 14TH AVE SE",
            "address_2": "SUITE G400",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 14TH AVE SE",
            "address_2": "SUITE G400",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013309",
            "telephone_number": "256-309-5622",
            "fax_number": "256-309-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "JANICE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00019301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51529947",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.