Marshall Medical Center South

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

MARSHALL MEDICAL CENTER SOUTH

Doing business as

Marshall Rheumatology

Practice address

11491 US Highway 431
Albertville, AL 35950-0136

Phone

(256) 593-8310

NPI assigned

Jul 5, 2016

Last updated

Jul 5, 2016By 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

Gary Gore

Title

Ceo

Phone

(256) 571-8000

Specialties & licenses 1

Addresses

Other names 1

• Marshall Rheumatology Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• HH Health System - Marshall LLC

  dba Marshall Medical Center

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760

  Member Of

  NPD member

Interoperability endpoints

• Direct secure messaging: bobbysmith@mrc.allscriptsdirect.net
• Direct secure messaging: randallbeyl@mrc.allscriptsdirect.net
• Direct secure messaging: surabhivinod@mrc.allscriptsdirect.net

Practitioners 3

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.

• Surabhi V Jong, MD

  • Rheumatology Physician
  • Guntersville, AL
  • NPI 1770088312
  Medicare reassignment Care Compare group NPD
• Bobby Joe Smith, FNP-C

  • Family Nurse Practitioner
  • Albertville, AL
  • NPI 1427556679
  Medicare reassignment Care Compare group NPD
• Randall Narvin Beyl Jr., MD

  • Rheumatology Physician
  • Baton Rouge, LA
  • NPI 1356630958

  AL

  Medicare reassignment NPD

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1538511340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11491 US HIGHWAY 431",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11491 US HIGHWAY 431",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500136",
            "telephone_number": "256-593-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MEDICAL CENTER SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-571-8000"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marshall County Foot Clinic, LLC (Marshall Foot Clinic)
• Marshall County Foot Clinic, LLC (Allegiance Family Foot Care)
• Marshall Family Health Clinic
• Marshall Imaging Center, LLC
• Marshall Medical Center South (Willis Surgical)
• Marshall Medical Center South Cerimele Family Practice
• Marshall Medical Center South Dba MMC Radiologist
• Marshall Medical Center South Heather Krausse MD
• Martin Wound Care LLC
• Elizabeth Butler Matthews, OTR/L

• Rheumatology Physician in Albertville, AL
• Providers in Albertville, AL by specialty
• Rheumatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.