Organization Active NPI

Angela R. Sommerset, M.D.,P.C.

  • Primary Care Clinic/Center
  • Madison, AL
National Provider Identifier
1497050025
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
15965 Issued in AL
Legal business name
ANGELA R. SOMMERSET, M.D.,P.C.
Practice address
8191 Madison Blvd
Suite #B
Madison, AL 35758-2018
Phone
(256) 461-1003
Fax
(256) 461-1005
NPI assigned
Jan 12, 2011
Last updated
Jan 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Angela Renee Sommerset, M.D.NPI 1316007362
Title
Physician
Phone
(256) 461-1003

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
Primary Care Clinic/Center 261QP2300X 15965 AL Primary

Addresses

Primary practice location

8191 Madison Blvd
Suite #B
Madison, AL 35758-2018

Mailing address

PO Box 1185
Madison, AL 35758-5185
Phone (256) 461-1003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111220000461 AL Part B Supplier - Clinic/Group Practice 5294901310 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, AL

National Provider Directory

National Provider Directory

Locations

8191 Madison Blvd
Madison, AL 35758
Phone (256) 461-1003

8191 Madison Blvd
Ste B
Madison, AL 35758
Phone (256) 461-1003

Practitioners & affiliated clinicians

Practitioners 1

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": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1497050025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1185",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585185",
            "telephone_number": "256-461-1003",
            "fax_number": "256-461-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 MADISON BLVD",
            "address_2": "SUITE #B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582018",
            "telephone_number": "256-461-1003",
            "fax_number": "256-461-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA R. SOMMERSET, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "SOMMERSET",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "256-461-1003",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "15965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.