Active NPI
Gulf Shores Medical Center
- Family Medicine Physician
- Gulf Shores, AL
National Provider Identifier
1497802177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10519
- Legal business name
- GULF SHORES MEDICAL CENTER
- Practice address
- 200 Office Park Drive
Gulf Shores, AL 36542 - Phone
- (251) 968-7379
- Fax
- (251) 968-5960
- NPI assigned
- Jan 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas J Davidson III, M.D.
- Title
- Owner
- Phone
- (251) 968-7379
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10519 | AL | Primary |
Addresses
Primary practice location
200 Office Park Drive
Gulf Shores, AL 36542
Mailing address
PO Box 1859
Gulf Shores, AL 36547-1859
Phone (251) 968-7379
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Gulf Shores, AL
- NPI 1457398828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197417600000",
"number": "1497802177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1859",
"city": "GULF SHORES",
"state": "AL",
"postal_code": "365471859",
"telephone_number": "251-968-7379",
"fax_number": "251-968-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 OFFICE PARK DRIVE",
"city": "GULF SHORES",
"state": "AL",
"postal_code": "36542",
"telephone_number": "251-968-7379",
"fax_number": "251-968-5960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF SHORES MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2007-12-12",
"status": "A",
"authorized_official_last_name": "DAVIDSON",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-968-7379",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AL",
"license": "10519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulf Shores, AL
- Gulf Coast Family Chiropractic, PC
- Gulf Coast Radiology Associates Inc
- Gulf Shores Dental PLLC
- Gulf Shores Emergency Physicians, LLC
- Gulf Shores Family Medicine
- Gulf Shores Pediatrics PC
- Gulf Shores Pharmacy, Inc.
- Gulfview Counseling & Wellness
- Ashley Poole Hagan, CRNA
- Lydia Grace Hale, M.S., CF-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.