Active NPI
Physynergy, LLC
- Anesthesiology Physician
- Decatur, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- PHYSYNERGY, LLC
- Practice address
- 1874 Beltline Rd SW
Decatur, AL 35601-5514 - Phone
- (256) 350-2211
- Fax
- (256) 270-8937
- NPI assigned
- May 8, 2015
- Last updated
- May 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Killen Adams, Jr., MD
- Title
- President
- Phone
- (256) 469-7895
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AL | ||
| Anesthesiologist Assistant | 367H00000X | AL | ||
| Anesthesiology Physician | 207L00000X | AL | Primary | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | AL |
Addresses
Primary practice location
1874 Beltline Rd SW
Decatur, AL 35601-5514
Mailing address
PO Box 52404
Lafayette, LA 70505-2404
Phone (706) 860-2701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130222000456 | AL | Part B Supplier - Clinic/Group Practice | 6204081292 |
Receives reassigned benefits from 217 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Huntsville, AL; Madison, AL; Mobile, AL |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 11
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.
-
- Anesthesiology Physician
- Huntsville, AL
- NPI 1295836583
-
- Certified Registered Nurse Anesthetist
- Fort Payne, AL
- NPI 1194147041
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Huntsville, AL
- NPI 1093078636
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Mobile, AL
- NPI 1710923271
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Huntsville, AL
- NPI 1457524001
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Mobile, AL
- NPI 1407127814
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Nashville, TN
- NPI 1588728554
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1013298462
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1518349596
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1639239940
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Destin, FL
- NPI 1851792493
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431043200000",
"number": "1568840684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52404",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705052404",
"telephone_number": "706-860-2701",
"fax_number": "706-860-6484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1874 BELTLINE RD SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356015514",
"telephone_number": "256-350-2211",
"fax_number": "256-270-8937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSYNERGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-08",
"last_updated": "2015-05-08",
"status": "A",
"authorized_official_last_name": "ADAMS, JR.",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "KILLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-469-7895",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": null,
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.