Center for Medical Diagnostics of Georgia

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

69541 Issued in GA

Legal business name

CENTER FOR MEDICAL DIAGNOSTICS OF GEORGIA

Practice address

2227 Drake Ave SW
Huntsville, AL 35805-5199

Phone

(256) 382-1603

Fax

(256) 382-1607

NPI assigned

May 23, 2016

Last updated

May 23, 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

Dr. Eric Ray Beck, MDNPI 1740238112

Title

Owner

Phone

(256) 683-0970

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Eric R Beck, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Huntsville, AL
  • NPI 1740238112
  Authorized official Same address or phone

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1598112336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11560 HIGHWAY 27",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307475873",
            "telephone_number": "256-382-1603",
            "fax_number": "256-382-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 DRAKE AVE SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358055199",
            "telephone_number": "256-382-1603",
            "fax_number": "256-382-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MEDICAL DIAGNOSTICS OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-683-0970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "GA",
            "license": "69541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Rehabilitation Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.