Central Pediatrics Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

25244 Issued in AL

Legal business name

CENTRAL PEDIATRICS INC.

Practice address

707 US Highway 31 S
Athens, AL 35611-3619

Phone

(256) 233-0712

Fax

(256) 233-3535

NPI assigned

Jan 30, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Wesley C Crowell, M.DNPI 1417973330

Title

Owner/President

Phone

(256) 233-0712

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467639534. Details of each certification follow.

• CCN 013958 Rural health clinic · Active · Details

Rural health clinic certification: CCN 013958

Legal name

CENTRAL PEDIATRICS INC.

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Nov 2, 2010

Last certification

Aug 29, 2024

Ownership / control type

1B

Organization structure

CorporationProprietary

Incorporated

May 14, 2003 in AL

Enrollment address

101 Fitness Way
Suite 1100
Athens, AL 35611-3620

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

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.

• Wesley C Crowell, MD

  • Pediatrics Physician
  • Athens, AL
  • NPI 1417973330
  NPD (past) Authorized official
• Audri McBay Ragasa, CRNP

  • Pediatric Nurse Practitioner
  • Athens, AL
  • NPI 1760760235
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1467639534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 US HIGHWAY 31 S",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356113619",
            "telephone_number": "256-233-0712",
            "fax_number": "256-233-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 US HIGHWAY 31 S",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356113619",
            "telephone_number": "256-233-0712",
            "fax_number": "256-233-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PEDIATRICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "CROWELL",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "256-233-0712",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AL",
            "license": "25244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "51517667",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiara Janae Carmichael
• Maureen Carr, RD
• Jhony Noel Carranza Saravia, CRNP
• Cee, L.L.C
• Central North Alabama Health Services, Inc. (Central Health Care -Athens)
• Ann B. Chastain, O.D.
• Chiro Clinic LLC
• Chirocare of Athens
• Choice Medical Solutions (Athens Medical Clinic)
• Jennifer Putman Christopher, N.P.

• Preferred Provider Organization in Athens, AL
• Providers in Athens, AL by specialty
• Preferred Provider Organization in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.