Individual provider Active NPI

John Otis Waits, M.D.

  • Surgery Physician
  • Northport, AL
National Provider Identifier
1396779161
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9904 Issued in AL
Practice address
1325 McFarland Blvd
Northport, AL 35476-3270
Phone
(205) 926-2992
Fax
(205) 316-7675
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 9904 AL
Surgery Physician 208600000X 9904 AL Primary

Addresses

Primary practice location

1325 McFarland Blvd
Northport, AL 35476-3270

Mailing address

405 Belcher St
Centreville, AL 35042-2946
Phone (205) 926-2992

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20101220001171 AL Practitioner - General Surgery 2860680626 Reassigns benefits to 3 organizations
Practice locations: Tuscaloosa, AL

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cahaba Medical Care FoundationGroup PAC ID 1355597923, 100 clinicians

Practice addresses (Care Compare)

100 Towncenter Blvd
Suite 111
Tuscaloosa, AL 35406-1832
Phone (205) 926-2992

1305 Princeton Ave SW
Birmingham, AL 35211-1544
Phone (205) 340-8108

195 Hospital Dr
Centreville, AL 35042-2935
Phone (205) 926-2992

294 Pierson Ave
Centreville, AL 35042-2918
Phone (205) 926-2992

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue443
Removal of skin lesions1-10
Removal or shaving of skin growth13
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation CurrentSince Apr 17, 2013 Accepting new patients
Wounds LLC. Surgery CurrentSince Feb 1, 2022 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Apr 17, 2013 Accepting new patients
Cahaba Medical Care Foundation Past Accepting new patients

Locations

975 9th Ave SW
Ste 320
Bessemer, AL 35022
Phone (205) 277-2358

294 Pierson Ave
Centreville, AL 35042

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

195 Hospital Dr
Centreville, AL 35042
Phone (205) 333-9097

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165

701 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 366-0009

100 Towncenter Blvd
Ste 111
Tuscaloosa, AL 35406
Phone (205) 330-8820

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

100 Towncenter Blvd
Ste 111A
Tuscaloosa, AL 35406
Phone (205) 277-2405

Interoperability endpoints

  • Direct secure messaging: john.o.waits.1@11347.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11347/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1396779161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BELCHER ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422946",
            "telephone_number": "205-926-2992",
            "fax_number": "205-316-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 MCFARLAND BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763270",
            "telephone_number": "205-926-2992",
            "fax_number": "205-316-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITS",
        "first_name": "JOHN",
        "middle_name": "OTIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "AL",
            "license": "9904",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "9904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.