Individual provider Active NPI

David Neal Erchak, M.D.

  • Internal Medicine Physician
  • Lagrange, GA
National Provider Identifier
1538190897
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37994 Issued in GA
Practice address
303 Smith St
Clark-Holder Clinic, P.a.
Lagrange, GA 30240-2745
Phone
(706) 882-8831
Fax
(706) 812-4091
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37994 GA Primary

Addresses

Primary practice location

303 Smith St
Clark-Holder Clinic, P.a.
Lagrange, GA 30240-2745

Mailing address

303 Smith St
Clark-Holder Clinic, P.a.
Lagrange, GA 30240-2745
Phone (706) 882-8831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130722000348 AL Practitioner - Internal Medicine 8729150883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Associates P.C.Group PAC ID 0941251607, 40 clinicians

Practice addresses (Care Compare)

121 N 20TH St
Suite 6
Opelika, AL 36801-5454
Phone (334) 749-3385

Hospital & facility affiliations

  • The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029
  • Russell Medical Center Hospital, Alexander City, AL, CCN 010065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37994GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Lab. Current Accepting new patients
Internal Medicine Associates P.C. Internal Medicine CurrentSince Jun 14, 2013 Accepting new patients

Locations

121 N 20th St
Ste 6
Opelika, AL 36801
Phone (334) 749-3385

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538190897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SMITH ST",
            "address_2": "CLARK-HOLDER CLINIC, P.A.",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402745",
            "telephone_number": "706-882-8831",
            "fax_number": "706-812-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SMITH ST",
            "address_2": "CLARK-HOLDER CLINIC, P.A.",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402745",
            "telephone_number": "706-882-8831",
            "fax_number": "706-812-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERCHAK",
        "first_name": "DAVID",
        "middle_name": "NEAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "37994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.