Active NPI
Coastal Neurologic Institute
- Physician Assistant
- Spanish Fort, AL
National Provider Identifier
1508303280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- COASTAL NEUROLOGIC INSTITUTE
- Practice address
- 30762 State Highway 181
Spanish Fort, AL 36527-5672 - Phone
- (205) 382-0908
- NPI assigned
- Jan 19, 2017
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ms. Sidney Lynn McClendon, PA-C
- Title
- Physician Assistant
- Phone
- (205) 382-0908
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Mobile, AL
- NPI 1992962856
-
- Neurological Surgery Physician
- Mobile, AL
- NPI 1831190024
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
30762 State Highway 181
Spanish Fort, AL 36527-5672
Mailing address
30762 State Highway 181
Spanish Fort, AL 36527-5672
Phone (205) 382-0908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2017.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484784000000",
"number": "1508303280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30762 STATE HIGHWAY 181",
"city": "SPANISH FORT",
"state": "AL",
"postal_code": "365275672",
"telephone_number": "205-382-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30762 STATE HIGHWAY 181",
"city": "SPANISH FORT",
"state": "AL",
"postal_code": "365275672",
"telephone_number": "205-382-0908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL NEUROLOGIC INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-19",
"last_updated": "2017-01-19",
"status": "A",
"authorized_official_last_name": "MCCLENDON",
"authorized_official_first_name": "SIDNEY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "205-382-0908",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spanish Fort, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.