Organization Active NPI

Urogynecology of East Alabama, LLC

Doing business as Urogynecology of East Alabama

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Auburn, AL
National Provider Identifier
1477399111
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
Legal business name
UROGYNECOLOGY OF EAST ALABAMA, LLC
Doing business as
Urogynecology of East Alabama
Practice address
890 N Dean Rd Ste 300
Auburn, AL 36830-9452
Phone
(334) 528-5970
Fax
(334) 528-5971
NPI assigned
Jul 2, 2024
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
THE EAST ALABAMA HEALTH CARE AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Samuel A Price Jr.
Title
Cfo
Phone
(334) 528-1310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X NU Primary

Addresses

Primary practice location

890 N Dean Rd Ste 300
Auburn, AL 36830-9452

Mailing address

890 N Dean Rd Ste 300
Auburn, AL 36830-9452
Phone (334) 528-5970

Other names 1

  • UROGYNECOLOGY OF EAST ALABAMA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241112000100 AL Part B Supplier - Clinic/Group Practice 5698209823 Receives reassigned benefits from 1 practitioner
Practice locations: Auburn, AL; Opelika, AL

National Provider Directory

National Provider Directory
Part of
East Alabama Medical Ce

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1477399111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 N DEAN RD STE 300",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368309452",
            "telephone_number": "334-528-5970",
            "fax_number": "334-528-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 N DEAN RD STE 300",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368309452",
            "telephone_number": "334-528-5970",
            "fax_number": "334-528-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROGYNECOLOGY OF EAST ALABAMA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE EAST ALABAMA HEALTH CARE AUTHORITY",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "334-528-1310",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UROGYNECOLOGY OF EAST ALABAMA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UROGYNECOLOGY OF EAST ALABAMA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.