NPIMap

Organization Active NPI

Decatur Morgan Pediatrics-Riverside

  • Pediatrics Physician
  • Decatur, AL
National Provider Identifier
1508389016
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DECATUR MORGAN PEDIATRICS-RIVERSIDE
Practice address
1304 13TH Ave SE Ste B
Decatur, AL 35601-4316
Phone
(256) 355-1843
NPI assigned
Jul 18, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nick Hubler
Title
Director
Phone
(256) 973-2802

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-10334 AL
Pediatrics Physician 208000000X 35949 AL
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

1304 13TH Ave SE Ste B
Decatur, AL 35601-4316

Mailing address

1304 13TH Ave SE Ste B
Decatur, AL 35601-4316
Phone (256) 355-1843

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508389016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 13TH AVE SE STE B",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014316",
            "telephone_number": "256-355-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 13TH AVE SE STE B",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014316",
            "telephone_number": "256-355-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR MORGAN PEDIATRICS-RIVERSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HUBLER",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "256-973-2802"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-10334",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "35949",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.