Anniston Wellness Center PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24178 Issued in AL

Legal business name

ANNISTON WELLNESS CENTER PC

Practice address

1400 Leighton Ave
Anniston, AL 36207-3827

Phone

(256) 237-7990

Fax

(256) 237-8881

NPI assigned

Feb 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vishwanath Mukkamalla Reddy, MDNPI 1952375354

Title

President

Phone

(256) 237-7990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vishwanath Mukkamalla Reddy, MD

  • Internal Medicine Physician
  • Anniston, AL
  • NPI 1952375354

  AL, Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1477527034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362073827",
            "telephone_number": "256-237-7990",
            "fax_number": "256-237-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362073827",
            "telephone_number": "256-237-7990",
            "fax_number": "256-237-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNISTON WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "VISHWANATH",
        "authorized_official_middle_name": "MUKKAMALLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-237-7990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "24178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Anniston, AL
• Providers in Anniston, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.