NPIMap

Organization Active NPI

Tombigbee Healthcare Authority

Doing business as Two Rivers Surgical Associates

  • Surgery Physician
  • Demopolis, AL
National Provider Identifier
1487011086
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
TOMBIGBEE HEALTHCARE AUTHORITY
Doing business as
Two Rivers Surgical Associates
Practice address
105 US Highway 80 E
Ste 215
Demopolis, AL 36732-3605
Phone
(334) 287-2840
Fax
(334) 287-2846
NPI assigned
Jan 27, 2016
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Donna Sue Gandy
Title
Credentialing Manager
Phone
(334) 287-2423

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

105 US Highway 80 E
Ste 215
Demopolis, AL 36732-3605

Mailing address

105 US Highway 80 E
Ste 215
Demopolis, AL 36732-3605
Phone (334) 287-2840

Other names 1

  • Two Rivers Surgical Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040427001551 AL Part B Supplier - Clinic/Group Practice 6709873235 Receives reassigned benefits from 101 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Demopolis, AL; Linden, AL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Bryan W Whitfield Mem H10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1487011086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 US HIGHWAY 80 E",
            "address_2": "STE 215",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367323605",
            "telephone_number": "334-287-2840",
            "fax_number": "334-287-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 US HIGHWAY 80 E",
            "address_2": "STE 215",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367323605",
            "telephone_number": "334-287-2840",
            "fax_number": "334-287-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMBIGBEE HEALTHCARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "GANDY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "334-287-2423"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Two Rivers Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Two Rivers Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Demopolis, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.