Pepperell Primary Care, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD.12134 Issued in AL

Legal business name

PEPPERELL PRIMARY CARE, PC

Practice address

1245 E South Blvd
Montgomery, AL 36116-2315

Phone

(334) 281-3030

Fax

(334) 281-4566

NPI assigned

Oct 11, 2012

Last updated

May 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David J Knapp, M.D.NPI 1386623775

Title

Owner

Phone

(334) 233-2417

Specialties & licenses 1

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, and the practitioner matching its NPPES authorized official.

• David Joiner Knapp, M. D.

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1386623775
  Medicare reassignment NPD Authorized official
• Amanda Layne Elkins, CRNP

  • Nurse Practitioner
  • Opelika, AL
  • NPI 1770899502
  NPD

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1518219716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162315",
            "telephone_number": "334-281-3030",
            "fax_number": "334-281-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162315",
            "telephone_number": "334-281-3030",
            "fax_number": "334-281-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPPERELL PRIMARY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-233-2417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "MD.12134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Penn, RN
• Shandra Penn
• E. Gray Penton, DMD
• Shearlyn Deanne Peoples, M.D.
• Ashley Lauren Peplow, CRNP
• Peppertown USA, LLC (Theraquatics)
• Amanda Nicole Henrie Percival
• Quintarious Marquez Perdue, PHARM.D
• Sergio Andres Perez Beracasa, M.D.
• Lasha Perine, M. ED, ALC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.