NPIMap

Organization Active NPI

Thomasville Regional Medical Associates LLC

Doing business as Thomasville Regional Surgical Services

  • Surgery Physician
  • Thomasville, AL
National Provider Identifier
1568134682
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
THOMASVILLE REGIONAL MEDICAL ASSOCIATES LLC
Doing business as
Thomasville Regional Surgical Services
Practice address
300 Med Park Drive
Mob, Suite B
Thomasville, AL 36784
Phone
(205) 903-2392
NPI assigned
Sep 28, 2021
Last updated
Feb 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Breanna Brickner
Title
Controller
Phone
(205) 903-2392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

300 Med Park Drive
Mob, Suite B
Thomasville, AL 36784

Mailing address

1200 Corporate Dr Ste 470
Hoover, AL 35242-2941
Phone (205) 903-2392

Other names 1

  • Thomasville Regional Surgical Services Doing business as

National Provider Directory

National Provider Directory

Locations

1200 Corporate Dr
Ste 470
Hoover, AL 35242

300 Med Park Dr
Ste B
Thomasville, AL 36784
Phone (205) 903-2392

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1568134682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 470",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352422941",
            "telephone_number": "205-903-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MED PARK DRIVE",
            "address_2": "MOB, SUITE B",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "36784",
            "telephone_number": "205-903-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASVILLE REGIONAL MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "BRICKNER",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "205-903-2392"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomasville Regional Surgical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.