NPIMap

Organization Active NPI

Escambia County Alabama Community Hospitals Inc

Doing business as ACH Specialty Care

  • Surgery Physician
  • Atmore, AL
National Provider Identifier
1609505916
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS INC
Doing business as
ACH Specialty Care
Practice address
406 Medical Park Dr
Atmore, AL 36502-3016
Phone
(251) 368-6878
Fax
(251) 368-4551
NPI assigned
Jun 10, 2022
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Kathryn S Johnson
Title
Director of Revenue Cycle
Phone
(251) 282-0981

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary
General Practice Physician 208D00000X

Addresses

Primary practice location

406 Medical Park Dr
Atmore, AL 36502-3016

Mailing address

PO Box 11407 Dept# 8332
Birmingham, AL 35246-8332
Phone (251) 368-6245

Other names 1

  • ACH Specialty Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811000712 AL Part B Supplier - Clinic/Group Practice 4385616119 Receives reassigned benefits from 19 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Atmore, AL

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Escambia Cod W McMilla9 organizations share this tax ID, including this one
Part of
Escambia Cod W McMilla

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1609505916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407 DEPT# 8332",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468332",
            "telephone_number": "251-368-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MEDICAL PARK DR",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365023016",
            "telephone_number": "251-368-6878",
            "fax_number": "251-368-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS INC",
        "enumeration_date": "2022-06-10",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "251-282-0981"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACH Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACH Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atmore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.

Verify at the official NPI Registry.