Organization Active NPI

Central Alabama CT Imaging LLC

  • Diagnostic Radiology Physician
  • Alexander City, AL
National Provider Identifier
1427622844
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CENTRAL ALABAMA CT IMAGING LLC
Practice address
1080 Airport Dr Ste B
Alexander City, AL 35010-3433
Phone
(256) 397-0402
NPI assigned
May 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Ross Barnett, MDNPI 1205808755
Title
MD.Owner
Phone
(256) 397-0402

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
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1080 Airport Dr Ste B
Alexander City, AL 35010-3433

Mailing address

PO Box 242848
Montgomery, AL 36124-2848
Phone (256) 397-0402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211008000328 AL Part B Supplier - Clinic/Group Practice 7315345196 Receives reassigned benefits from 3 practitioners
Practice locations: Alexander City, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2237483Central Alabama CT Imaging1080 Airport Drive Suite B, Alexander City, AL 35010Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory

Locations

1080 Airport Dr
Ste B
Alexander City, AL 35010
Phone (256) 397-0402

1120 Airport Dr
Ste 100
Alexander City, AL 35010
Phone (256) 397-0402

Practitioners & affiliated clinicians

Practitioners 3

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": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1427622844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242848",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361242848",
            "telephone_number": "256-397-0402",
            "fax_number": "256-397-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 AIRPORT DR STE B",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103433",
            "telephone_number": "256-397-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ALABAMA CT IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "MD.OWNER",
        "authorized_official_telephone_number": "256-397-0402",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.