James Enloe Pitt IV

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

S12668 Issued in AL

Practice address

2513 Glenn Brooke Dr
Auburn, AL 36830-8445

Phone

(334) 750-6447

NPI assigned

Jan 23, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1447880950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 GLENN BROOKE DR",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368308445",
            "telephone_number": "334-750-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 GLENN BROOKE DR",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368308445",
            "telephone_number": "334-750-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITT",
        "first_name": "JAMES",
        "middle_name": "ENLOE",
        "name_suffix": "IV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": "S12668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians Choice Dialysis of Auburn, LLC
• Lindsey Ivy Piazza, MCD., CCC-SLP
• Kelli Pickard
• Nicole Pietrapertosa, ATC
• Douglas Owens Pitt, D.C.
• Plainsman Park Physical Therapy
• Lizzeth Plascencia
• Allison Margaret Plumb, PH.D.
• Hillary Ann Plummer, M.AT, LAT, ATC
• Calli Pollard, M.ED.

• Student in an Organized Health Care Education/Training Program in Auburn, AL
• Providers in Auburn, AL by specialty
• Student in an Organized Health Care Education/Training Program in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.