Christopher Centafont, D.O.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

378-DO Issued in AL

Practice address

1150 Ross Clark Cir
Dothan, AL 36301-3022

Phone

(334) 712-1929

Fax

(334) 712-2799

NPI assigned

Jan 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Enrolled in AL, FL, GA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Cardiovascular Disease (Cardiology)

Education

University of Texas Medical Branch at Galveston, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Cardiology Clinic Inc.Group PAC ID 9234111899, 6 clinicians

Donalsonville Hospital IncGroup PAC ID 7113919820, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
• Donalsonville Hospital Inc Hospital, Donalsonville, GA, CCN 110194
• Flowers Hospital Hospital, Dothan, AL, CCN 010055
• Jackson Hospital Hospital, Marianna, FL, CCN 100142

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chriscentafontsecardio@scc-al.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Donalsonville Hospital Inc

  • Rural Acute Care Hospital
  • Donalsonville, GA
  • NPI 1720095805

  GA

  Medicare reassignment Care Compare group NPD
• Southeast Cardiology Clinic Inc.

  • Cardiovascular Disease Physician
  • Dothan, AL
  • NPI 1285790915

  AL, FL, GA

  Medicare reassignment Care Compare group
• Houston County Healthcare Authority

  • Internal Medicine Physician
  • Enterprise, AL
  • NPI 1619026606

  AL

  Medicare reassignment NPD
• Donalsonville Hospital, Inc

  • Skilled Nursing Facility
  • Donalsonville, GA
  • NPI 1710975206
  Care Compare group
• Donalsonville Hospital, Inc

  • Rural Acute Care Hospital
  • Donalsonville, GA
  • NPI 1932645777
  Care Compare group
• Houston County Healthcare Authority

  • Internal Medicine Physician
  • Dothan, AL
  • NPI 1285783134

  Cardiovascular Disease

  NPD
• Houston County Healthcare Authority

  • Internal Medicine Physician
  • Dothan, AL
  • NPI 1538597349

  Cardiovascular Disease

  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Houston County Healthcare Authority

  • General Acute Care Hospital
  • Dothan, AL
  • NPI 1164403861

  Hospital

  Care Compare affiliation
• Triad of Alabama LLC

  • General Acute Care Hospital
  • Dothan, AL
  • NPI 1801830500

  Hospital

  Care Compare affiliation
• Donalsonville Hospital Inc

  • Rural Acute Care Hospital
  • Donalsonville, GA
  • NPI 1720095805

  Hospital

  Care Compare affiliation
• Jackson County Hospital District

  • General Acute Care Hospital
  • Marianna, FL
  • NPI 1538108725

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1447239595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013022",
            "telephone_number": "334-712-1929",
            "fax_number": "334-712-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013022",
            "telephone_number": "334-712-1929",
            "fax_number": "334-712-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTAFONT",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "378-DO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00599266A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375117101",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375117100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000095006",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051055301",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051095006",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051540467",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "631087996",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000055301",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "61819",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051024479",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willie Charles Cawthon, NP
• Christopher Charles Cazenave, OTR/L
• CBC Healthcare, LLC
• Darrel Alexander Ceballos, D.O.
• Anthony A Cecchini, MD
• Center for Vascular Medicine Al LLC
• Center for Vein Restoration Al LLC
• Centerwell Certified Healthcare Corp.
• Rayen-Ayoub Chakra
• Shirah Thomas Chalker, MSW

• All providers in Dothan, AL
• Cardiovascular Disease Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.