WV Medical Services PC
Organization Active NPI Rheumatology Physician · Northport, AL
NPI 1497739346 · NPPES record last updated Jul 15, 2025
Key facts
- NPI
- 1497739346
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 00019352 (AL)
- Legal business name
- WV MEDICAL SERVICES PC
- Practice address
- 4280 Watermelon Rd Ste 112
Northport, AL 35473-5250 - Phone
- (205) 750-0030
- Fax
- (205) 750-0855
- NPI assigned
- Dec 5, 2005
- Organization subpart
- No
Authorized official
- Name
- Richard Edwin Jones III, PHD, MD
- Title
- Owner
- Phone
- (205) 750-0030
Practitioners 15
-
Brittany Hill, DO
-
Donna Kay Maneice, M.D.
-
Lisa Colette Ryan, CRNP
-
Ryan Mathew, M.D.
-
Melissa Lynn Harrison, CRNP
-
Mary Ellen Cole, MSN,CRNP
-
Jillian Smith Barnette, CRNP
-
Shelby Leanne Bowden, CRNP
-
Edwin Dale Christensen, M.D.
-
Pu-Min Chen, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D1006772 | Clinic for Rheumatic Diseases | Compliance | Jun 9, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041117000954 | AL | Part B Supplier - Clinic/Group Practice | 0840254975 |
Receives reassigned benefits from 11 practitioners Practice locations: Northport, AL |
| O20100930044255 | AL | DME Supplier - Physician - Internal Medicine | 0840254975 | Practice locations: Northport, AL |
National Provider Directory
Locations
4280 Watermelon Rd
Ste 112
Northport, AL 35473
Phone (205) 464-4975
Interoperability endpoints
- clinicforrheumaticdisease@direct.crd.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician |
207RR0500X | 00019352 | AL | Yes |
| Non-Pharmacy Dispensing Site | 332900000X |
Addresses
Primary practice location
4280 Watermelon Rd Ste 112
Northport, AL 35473-5250
Mailing address
4280 Watermelon Rd Ste 112
Northport, AL 35473-5250
Phone (205) 750-0030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51504044 | Other | AL | BCBS |
| 529912100 | Medicaid | AL |
Other names
- Clinic For Rheumatic Diseases
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clinicforrheumaticdisease@direct.crd.nextgenshare.com |
Other providers in Northport, AL
- Word of Mouth Translations LLC
- Pamela Michelle Worthy
- Wright Dental Care PC
- McKenzie Wright
- Wesley Thomas Wright
- Amy McCool Wyatt
- Stephanie D Wynn
- Richard Thomas Zhou
All providers in Northport, AL · Rheumatology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.