Individual provider Active NPI

Phillip Dewey Foshee, M.D.

  • General Practice Physician
  • Clanton, AL
National Provider Identifier
1477620896
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
00003110 Issued in AL
Practice address
310 Pinedale Rd
Clanton, AL 35045
Phone
(205) 755-3877
Fax
(205) 755-3608
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 00003110 AL Primary

Addresses

Primary practice location

310 Pinedale Rd
Clanton, AL 35045

Mailing address

310 Pinedale Rd.
Clanton, AL 35045
Phone (205) 755-3877

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00003110ALMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1477620896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 PINEDALE RD.",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "35045",
            "telephone_number": "205-755-3877",
            "fax_number": "205-755-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 PINEDALE RD",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "35045",
            "telephone_number": "205-755-3877",
            "fax_number": "205-755-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSHEE",
        "first_name": "PHILLIP",
        "middle_name": "DEWEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "00003110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.