Northport Hospital DCH

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

NORTHPORT HOSPITAL DCH

Doing business as

Northport Medical Center

Practice address

2702 Hospital Dr
Suite 201
Northport, AL 35476-3397

Phone

(205) 333-4518

Fax

(205) 333-4522

NPI assigned

Nov 17, 2006

Last updated

Jan 22, 2021By 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

Keri Hindman

Title

Patient Accounts Director

Phone

(205) 759-7378

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Northport Medical Center Doing business as

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1548334113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 HOSPITAL DR",
            "address_2": "SUITE 201",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763397",
            "telephone_number": "205-333-4518",
            "fax_number": "205-333-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 HOSPITAL DR",
            "address_2": "SUITE 201",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763397",
            "telephone_number": "205-333-4518",
            "fax_number": "205-333-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHPORT HOSPITAL DCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "HINDMAN",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS DIRECTOR",
        "authorized_official_telephone_number": "205-759-7378"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529924180",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DE0580",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "W018",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northport Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northport Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia O Nichols, CRNP
• Julie Beth Nicholson, LPTA
• Tameka Chardell Noland, FNP-C
• Northport - Crna
• Northport Hospital DCH (North Harbor)
• Northport Internal Medicine PC
• Northport Medical Center (Northport Medical Center - Psych)
• Northport Medical Center
• Northport Medical Center (Northport Medical Center - Rehab)
• Northport Opco, LLC (The Landings of Northport)

• Hospitalist Physician in Northport, AL
• Providers in Northport, AL by specialty
• Hospitalist Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.