Organization Active NPI

General Surgery Associates

  • Surgery Physician
  • Huntsville, AL
National Provider Identifier
1386684801
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
GENERAL SURGERY ASSOCIATES
Practice address
4704 Whitesburg Dr SE
Suite 200
Huntsville, AL 35802-1631
Phone
(256) 880-4510
Fax
(256) 880-4512
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Peter S Wilson, MDNPI 1083602130
Title
Vice President
Phone
(256) 880-4510

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

4704 Whitesburg Dr SE
Suite 200
Huntsville, AL 35802-1631

Mailing address

4704 Whitesburg Dr SE
Suite 200
Huntsville, AL 35802-1631
Phone (256) 880-4510

Other identifiers 2

IdentifierTypeStateIssuer
529502500MedicaidAL
CC7854OtherALRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040219000652 AL Part B Supplier - Clinic/Group Practice 2264327022 Receives reassigned benefits from 7 practitioners
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Locations

1005 W Market St
Ste 1
Athens, AL 35611
Phone (256) 230-0189

4704 Whitesburg Dr SW
Ste 200
Huntsville, AL 35802
Phone (256) 327-5005

20 Hughes Rd
Ste 201
Madison, AL 35758
Phone (256) 461-8702

460 Lanier Rd
Ste 203
Madison, AL 35758
Phone (256) 461-8702

Practitioners & affiliated clinicians

Practitioners 10

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": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1386684801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 WHITESBURG DR SE",
            "address_2": "SUITE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021631",
            "telephone_number": "256-880-4510",
            "fax_number": "256-880-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 WHITESBURG DR SE",
            "address_2": "SUITE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021631",
            "telephone_number": "256-880-4510",
            "fax_number": "256-880-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "256-880-4510",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529502500",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC7854",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.