NPIMap

Organization Active NPI

Whatley Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Tuscaloosa, AL
National Provider Identifier
1477939031
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WHATLEY HEALTH SERVICES, INC.
Doing business as
Stillman Health Center
Practice address
3601 Stillman Blvd
Tuscaloosa, AL 35401-2601
Phone
(205) 752-2062
Fax
(205) 752-2063
NPI assigned
Aug 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Mr. David E Gay Jr.
Title
Chief Executive Officer
Phone
(205) 758-6647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

3601 Stillman Blvd
Tuscaloosa, AL 35401-2601

Mailing address

PO Box 2400
Tuscaloosa, AL 35403-2400
Phone (205) 758-6647

Other names 1

  • Stillman Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 011023

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WHATLEY HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 16, 2015
Last certification
Dec 16, 2015
Ownership / control type
For profit – corporation
Facility address
3601 Stillman Blvd/Johnson-Robinson BLDG
Tuscaloosa, AL 35401

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1477939031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2400",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354032400",
            "telephone_number": "205-758-6647",
            "fax_number": "205-345-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 STILLMAN BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012601",
            "telephone_number": "205-752-2062",
            "fax_number": "205-752-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHATLEY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "205-758-6647",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stillman Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stillman Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.