Organization Active NPI

Roy Gandy MD PC

  • Medical Specialty Clinic/Center
  • Bay Minette, AL
National Provider Identifier
1417997842
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
6662 Issued in AL
Legal business name
ROY GANDY MD PC
Practice address
2305 Hand Ave
Suite 4
Bay Minette, AL 36507-4191
Phone
(251) 580-4600
Fax
(251) 580-4160
NPI assigned
Jun 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Roy Edward Gandy, MDNPI 1225036312
Title
President
Phone
(251) 580-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 6662 AL Primary

Addresses

Primary practice location

2305 Hand Ave
Suite 4
Bay Minette, AL 36507-4191

Mailing address

2305 Hand Ave
Suite 4
Bay Minette, AL 36507-4191
Phone (251) 580-4600

National Provider Directory

National Provider Directory

Locations

2305 Hand Ave
Ste 4
Bay Minette, AL 36507
Phone (251) 580-4600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417997842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 HAND AVE",
            "address_2": "SUITE 4",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074191",
            "telephone_number": "251-580-4600",
            "fax_number": "251-580-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 HAND AVE",
            "address_2": "SUITE 4",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074191",
            "telephone_number": "251-580-4600",
            "fax_number": "251-580-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY GANDY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANDY",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-580-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AL",
            "license": "6662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, 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.