NPIMap

Individual provider Active NPI

Dewitt Alexander Pittman II, MD

  • Emergency Medicine Physician
  • Huntsville, AL
National Provider Identifier
1417242298
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
33321 Issued in AL
Practice address
101 Sivley Rd SW
Emergency Physicians Group- Huntsville Hospital
Huntsville, AL 35801-4421
Phone
(256) 265-9889
Fax
(256) 265-9910
NPI assigned
Jun 9, 2011
Last updated
Jul 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X LL33557 SC
Emergency Medicine Physician 207P00000X 33321 AL Primary

Addresses

Primary practice location

101 Sivley Rd SW
Emergency Physicians Group- Huntsville Hospital
Huntsville, AL 35801-4421

Mailing address

101 Sivley Rd SW
Emergency Physicians Group- Huntsville Hospital
Huntsville, AL 35801-4421
Phone (256) 265-9889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151123001887 GA Practitioner - Emergency Medicine 4082841044 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Georgia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Georgia Emergency Group LLCGroup PAC ID 5991004608, 27 clinicians

Practice addresses (Care Compare)

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-1000

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.18
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL33557SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Emergency Medicine Specialists, PC Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Central Georgia Emergency Group, LLC Emergency Medicine CurrentSince Jun 20, 2024 Accepting new patients
Phoebe Radiology CurrentSince Jul 1, 2017 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Jul 1, 2017 Accepting new patients
Phoebe Putney Memorial Hospital Inc Current Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

Interoperability endpoints

  • Direct secure messaging: dpittman2945269@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/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 2

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": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1417242298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SIVLEY RD SW",
            "address_2": "EMERGENCY PHYSICIANS GROUP- HUNTSVILLE HOSPITAL",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014421",
            "telephone_number": "256-265-9889",
            "fax_number": "256-265-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SIVLEY RD SW",
            "address_2": "EMERGENCY PHYSICIANS GROUP- HUNTSVILLE HOSPITAL",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014421",
            "telephone_number": "256-265-9889",
            "fax_number": "256-265-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "DEWITT",
        "middle_name": "ALEXANDER",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "LL33557",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "33321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.