NPIMap

Organization Active NPI

Medsouth Meridianville LLC

  • Family Medicine Physician
  • Meridianville, AL
National Provider Identifier
1477891331
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDSOUTH MERIDIANVILLE LLC
Practice address
12287 Highway 231 431 N
Meridianville, AL 35759-1205
Phone
(256) 828-1154
Fax
(256) 828-1194
NPI assigned
Jan 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Joseph M Baugh
Title
Member
Phone
(205) 253-6739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

12287 Highway 231 431 N
Meridianville, AL 35759-1205

Mailing address

12287 Highway 231 431 N
Meridianville, AL 35759-1205
Phone (256) 828-1154

National Provider Directory

National Provider Directory

Locations

12287 Highway 231 431 N
Meridianville, AL 35759
Phone (256) 828-1154

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1359244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1477891331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12287 HIGHWAY 231 431 N",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357591205",
            "telephone_number": "256-828-1154",
            "fax_number": "256-828-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12287 HIGHWAY 231 431 N",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357591205",
            "telephone_number": "256-828-1154",
            "fax_number": "256-828-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSOUTH MERIDIANVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-27",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "BAUGH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "205-253-6739"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridianville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.