Cullman Oncology, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CULLMAN ONCOLOGY, P.C.

Practice address

1750 Al Highway 157
Cullman, AL 35058

Phone

(256) 255-2500

Fax

(256) 255-2501

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Johnny Nacilla, M.D.NPI 1346261526

Title

President

Phone

(256) 255-2500

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnny Que Nacilla, M.D.

  • Specialist
  • Cullman, AL
  • NPI 1346261526
  Medicare reassignment NPD Authorized official
• Charles Allen Smith, CRNP

  • Acute Care Nurse Practitioner
  • Cullman, AL
  • NPI 1538363239
  Medicare reassignment NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508959107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2126",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "35055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 AL HIGHWAY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "35058",
            "telephone_number": "256-255-2500",
            "fax_number": "256-255-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN ONCOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-07-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "NACILLA",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-255-2500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cullman Heart & Urgent Care PC
• Cullman Internal Medicine Pharmacy, LLC
• Cullman Internal Medicine, PC
• Cullman Medical and Pediatric Associates
• Cullman OB GYN PC
• Cullman Optical Shop Inc
• Cullman Pain and Wellness LLC
• Cullman Pain and Wellness LLC
• Cullman Pediatrics, Inc.
• Cullman Physical Medicine, P.C.

• Specialist in Cullman, AL
• Providers in Cullman, AL by specialty
• Specialist in Alabama

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.