Advent Health LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ADVENT HEALTH LLC

Doing business as

Madison Integrative Medicine

Practice address

1230 Slaughter Rd Ste C
Madison, AL 35758-5901

Phone

(256) 325-0955

NPI assigned

Jul 22, 2020

Last updated

Oct 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Blake Hamilton Gilliam, CRNPNPI 1043845787

Title

CRNP

Phone

(256) 325-0955

Specialties & licenses 2

Addresses

Other names 1

• Madison Integrative Medicine Doing business as

Electronic endpoints 1

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.

• Blake Hamilton Gilliam

  • Nurse Practitioner
  • Madison, AL
  • NPI 1043845787
  Authorized official Same address or phone

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1447868757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 SLAUGHTER RD STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585901",
            "telephone_number": "256-325-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 SLAUGHTER RD STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585901",
            "telephone_number": "256-325-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "HAMILTON",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "256-325-0955",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "app.kareo.com",
            "affiliation": "N",
            "endpointDescription": "this is our Electronic medical record",
            "address_1": "1230 Slaughter Rd Ste C",
            "city": "Madison",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357585901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Madison Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madison Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Madison, AL
• Providers in Madison, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.