Active NPI
Daniel Craig Lockridge, MD
- Pediatrics Physician
- Gadsden, AL
National Provider Identifier
1558586131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 28092
- Practice address
- 501 Bay St
Gadsden, AL 35901-5181 - Phone
- (256) 543-2894
- Fax
- (256) 543-8185
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 28092 | AL | Primary |
Addresses
Primary practice location
501 Bay St
Gadsden, AL 35901-5181
Mailing address
501 Bay St
Gadsden, AL 35901-5181
Phone (256) 543-2894
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-42036 | Other | AL | BLUE CROSS BLUE SHIELD |
| 515-43967 | Other | AL | BLUE CROSS BLUE SHIELD |
| 09910426 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28092 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gadsden Pediatric Clinic, P.a. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- daniellockridge@gpcp-al.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Gadsden, AL
- NPI 1801851431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197331200000",
"number": "1558586131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 BAY ST",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359015181",
"telephone_number": "256-543-2894",
"fax_number": "256-543-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 BAY ST",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359015181",
"telephone_number": "256-543-2894",
"fax_number": "256-543-8185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKRIDGE",
"first_name": "DANIEL",
"middle_name": "CRAIG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "28092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "515-42036",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "515-43967",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09910426",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.