Organization Active NPI

Cheaha Women's Health and Wellness LLC

  • Obstetrics & Gynecology Physician
  • Anniston, AL
National Provider Identifier
1477816981
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD31286 Issued in AL
Legal business name
CHEAHA WOMEN'S HEALTH AND WELLNESS LLC
Practice address
171 Town Center Dr
Anniston, AL 36205-4101
Phone
(236) 400-1061
NPI assigned
Jun 19, 2012
Last updated
Jun 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Dr. Joshua B Johannson, M.D.NPI 1619924594
Title
Owner/Physician
Phone
(256) 400-1061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD31286 AL Primary

Addresses

Primary practice location

171 Town Center Dr
Anniston, AL 36205-4101

Mailing address

PO Box 2610
Anniston, AL 36202-2610
Phone (256) 400-1061

Other identifiers 1

IdentifierTypeStateIssuer
137339MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130129000581 AL Part B Supplier - Clinic/Group Practice 7113171182 Receives reassigned benefits from 2 practitioners
Practice locations: Ashland, AL; Roanoke, AL; Pell City, AL; Anniston, AL

National Provider Directory

National Provider Directory

Locations

1420 Leighton Ave
Anniston, AL 36207
Phone (256) 237-7081

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4413/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1477816981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2610",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362022610",
            "telephone_number": "256-400-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 TOWN CENTER DR",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362054101",
            "telephone_number": "236-400-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEAHA WOMEN'S HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "JOHANNSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "256-400-1061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "MD31286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137339",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.