Marshall Medical Center South Pediatric Hospital Services

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

MARSHALL MEDICAL CENTER SOUTH PEDIATRIC HOSPITAL SERVICES

Practice address

227 Brittany Rd
Guntersville, AL 35976-5766

Phone

(256) 891-3144

Fax

(256) 878-1742

NPI assigned

Nov 21, 2008

Organization subpart

No

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

Authorized official

Name

Vicky R Hicks

Title

Practice Management

Phone

(256) 891-3144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1508011297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 BRITTANY RD",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359765766",
            "telephone_number": "256-891-3144",
            "fax_number": "256-878-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 BRITTANY RD",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359765766",
            "telephone_number": "256-891-3144",
            "fax_number": "256-878-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MEDICAL CENTER SOUTH PEDIATRIC HOSPITAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE MANAGEMENT",
        "authorized_official_telephone_number": "256-891-3144"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall Medical Center North Jones Pediatric Practice
• Marshall Medical Center North Medical Centers Behavioral Health Clinic
• Marshall Medical Center South (Orthopaedic Assoc of Marshall County)
• Marshall Medical Center South Manganaris Pulmonology
• Marshall Medical Center South Medical Specialists of North Alabama
• Marshall Medical Centers Pain Managment Services
• Marshall Orthopedics PC
• Marshall-Jackson Mental Health BD., Inc. (Mt. Lakes Behavioral Healthcare)
• Marshall-Jackson MHC Allkids Plus (Mt. Lakes Behavioral Healthcare)
• Alythia Markesha-Nicole Marshall, MS

• Pediatric Adolescent Medicine Physician in Guntersville, AL
• Providers in Guntersville, AL by specialty
• Pediatric Adolescent Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.