Organization Active NPI

Digestive Disorders and Liver Disease Associates, PC

  • Gastroenterology Physician
  • Montgomery, AL
National Provider Identifier
1407944630
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE DISORDERS AND LIVER DISEASE ASSOCIATES, PC
Practice address
1501 Forest Ave
Montgomery, AL 36106-1539
Phone
(334) 265-3140
Fax
(334) 265-3150
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Cecily Denise Jackson
Title
Practice Manager
Phone
(334) 265-3140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1501 Forest Ave
Montgomery, AL 36106-1539

Mailing address

PO Box 5033
Montgomery, AL 36103-5033
Phone (334) 265-3140

National Provider Directory

National Provider Directory

Locations

1501 Forest Ave
Montgomery, AL 36106
Phone (334) 265-3140

Practitioners & affiliated clinicians

Practitioners 1

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407944630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5033",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361035033",
            "telephone_number": "334-265-3140",
            "fax_number": "334-265-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 FOREST AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061539",
            "telephone_number": "334-265-3140",
            "fax_number": "334-265-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISORDERS AND LIVER DISEASE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CECILY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "334-265-3140",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.