NPIMap

Organization Active NPI

Abc Pediatric Clinic, LLC

  • Legal Medicine
  • Cullman, AL
National Provider Identifier
1447439237
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
MD.23029 Issued in AL
Legal business name
ABC PEDIATRIC CLINIC, LLC
Practice address
1900 Main Ave SW
Cullman, AL 35055-7200
Phone
(256) 734-3759
Fax
(256) 734-9764
NPI assigned
Oct 29, 2007
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Dr. Lisa Karen Joines, M.D.NPI 1144337668
Title
Owner/Physician
Phone
(256) 734-3759

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X MD.23029 AL Primary

Addresses

Primary practice location

1900 Main Ave SW
Cullman, AL 35055-7200

Mailing address

1900 Main Ave SW
Cullman, AL 35055-7200
Phone (256) 734-3759

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, 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": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1447439237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MAIN AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350557200",
            "telephone_number": "256-734-3759",
            "fax_number": "256-734-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MAIN AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350557200",
            "telephone_number": "256-734-3759",
            "fax_number": "256-734-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PEDIATRIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "JOINES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "256-734-3759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "AL",
            "license": "MD.23029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.