Active NPI
Todd Wortham
- Driver
- Guntersville, AL
National Provider Identifier
1407495534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 5450 Al Highway 79 S
Guntersville, AL 35976-7822 - Phone
- (256) 572-7407
- NPI assigned
- Jan 7, 2020
- Last updated
- Jan 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
5450 Al Highway 79 S
Guntersville, AL 35976-7822
Mailing address
5450 Al Highway 79 S
Guntersville, AL 35976-7822
Phone (256) 572-7407
Other practice location 1
4150 County Highway 13
Locust Fork, AL 35097-5121
Phone (205) 541-2171
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southlandtransportllc.Com | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- Guntersville, AL
- NPI 1033758164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1407495534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 AL HIGHWAY 79 S",
"city": "GUNTERSVILLE",
"state": "AL",
"postal_code": "359767822",
"telephone_number": "256-572-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 AL HIGHWAY 79 S",
"city": "GUNTERSVILLE",
"state": "AL",
"postal_code": "359767822",
"telephone_number": "256-572-7407"
}
],
"practiceLocations": [
{
"address_1": "4150 County Highway 13",
"address_purpose": "LOCATION",
"city": "Locust Fork",
"state": "AL",
"postal_code": "350975121",
"country_code": "US",
"telephone_number": "205-541-2171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WORTHAM",
"first_name": "TODD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-07",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guntersville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.