Organization Active NPI

Huntsville Neurology Center

  • Neurology Physician
  • Huntsville, AL
National Provider Identifier
1417090366
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
00022841 Issued in AL
Legal business name
HUNTSVILLE NEUROLOGY CENTER
Practice address
2350 Whitesburg Dr S
Huntsville, AL 35801-3818
Phone
(256) 258-0052
NPI assigned
Feb 14, 2007
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
Mr. Ravi Yanamadula
Title
Office Manager
Phone
(256) 258-0052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 00022841 AL Primary

Addresses

Primary practice location

2350 Whitesburg Dr S
Huntsville, AL 35801-3818

Mailing address

2350 Whitesburg Dr S
Huntsville, AL 35801-3818
Phone (256) 258-0052

Other identifiers 1

IdentifierTypeStateIssuer
51002898OtherALBLUE CROSS BLUE SHEILD

Other names 1

  • MADISON NEUROLOGY CENTER Doing business as

National Provider Directory

National Provider Directory

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417090366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 WHITESBURG DR S",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013818",
            "telephone_number": "256-258-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 WHITESBURG DR S",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013818",
            "telephone_number": "256-258-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE NEUROLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YANAMADULA",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-258-0052",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "00022841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "51002898",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MADISON NEUROLOGY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.