Active NPI
Charles Leon Preston, PA-C
- Surgical Physician Assistant
- Huntsville, AL
National Provider Identifier
1457823700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 1884
- Practice address
- 201 Governors Dr SW
Huntsville, AL 35801-5170 - Phone
- (256) 533-1600
- NPI assigned
- Dec 27, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Surgical Physician Assistant | 363AS0400X | 1884 | AL | Primary |
Addresses
Primary practice location
201 Governors Dr SW
Huntsville, AL 35801-5170
Mailing address
201 Governors Dr SW
Huntsville, AL 35801-5170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1457823700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 GOVERNORS DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 GOVERNORS DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015170",
"telephone_number": "256-533-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "CHARLES",
"middle_name": "LEON",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-27",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AL",
"license": "1884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
- Premise Health of Alabama Medical PC (BAE Systems Huntsville AL)
- Premise Health of Alabama Medical PC (AT & T Health Center)
- Premium Family Care LLC
- Ashley Pressley
- Robert Eugene Presson III, CRNP
- Frankie L Preston, PSY.D.
- Price Denton Endodontics,LLC
- Ashlee Marie Price
- Roy Price, CRNA
- Charles Thurman Prickett, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.