NPIMap

Organization Active NPI

Cleburne Medical Clinic

Doing business as Anniston Geriatrics

  • Primary Care Clinic/Center
  • Anniston, AL
National Provider Identifier
1457429516
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CLEBURNE MEDICAL CLINIC
Doing business as
Anniston Geriatrics
Practice address
1112 Christine Ave
Anniston, AL 36207-4658
Phone
(256) 237-2351
Fax
(256) 237-2350
NPI assigned
Nov 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Donna H Lowery
Title
Office Manager
Phone
(256) 237-2351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1112 Christine Ave
Anniston, AL 36207-4658

Mailing address

1112 Christine Ave
Anniston, AL 36207-4658
Phone (256) 237-2351

Other names 1

  • Anniston Geriatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anniston Geriatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1112 Christine Ave
Anniston, AL 36207
Phone (256) 237-2351

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457429516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 CHRISTINE AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074658",
            "telephone_number": "256-237-2351",
            "fax_number": "256-237-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 CHRISTINE AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074658",
            "telephone_number": "256-237-2351",
            "fax_number": "256-237-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEBURNE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-237-2351"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anniston Geriatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.