Active NPI
Anniston Medical Clinic PC
- Internal Medicine Physician
- Anniston, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ANNISTON MEDICAL CLINIC PC
- Practice address
- 1010 Christine Ave
Anniston, AL 36207-5710 - Phone
- (256) 236-5631
- Fax
- (256) 241-2241
- NPI assigned
- Aug 17, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Vishala Chindalore, M.D.
- Title
- Rheumatologist
- Phone
- (256) 236-5631
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 21
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Anniston, AL
- NPI 1932415775
AL, Internal Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Anniston, AL
- NPI 1750502183
AL
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0304515 | Anniston Medical Clinic | Certificate of waiver | Aug 31, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040220000728 | AL | Part B Supplier - Clinic/Group Practice | 0244125854 |
Receives reassigned benefits from 20 practitioners Practice locations: Anniston, AL |
| O20100930065456 | AL | DME Supplier - Multi-Specialty - Physician | 0244125854 | Practice locations: Anniston, AL |
National Provider Directory
National Provider DirectoryLocations
1900 Leighton Ave
Ste 205LON
Anniston, AL 36207
1130 Hale St
Oxford, AL 36203
Phone (256) 831-0481
Specialties & licenses 6
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AL | ||
| Internal Medicine Physician | 207R00000X | AL | Primary | |
| Hematology & Oncology Physician | 207RH0003X | AL | ||
| Pulmonary Disease Physician | 207RP1001X | AL | ||
| Rheumatology Physician | 207RR0500X | AL | ||
| Multi-Specialty Clinic/Center | 261QM1300X | AL |
Addresses
NPPES NPI RegistryPrimary practice location
1010 Christine Ave
Anniston, AL 36207-5710
Mailing address
PO Box 2127
Anniston, AL 36202-2127
Phone (256) 236-5631
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00013001 | Other | AL | NHC HEALTH BENEFIT PLAN |
| 000060227 | Medicaid | AL |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 8, 2016.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457395200000",
"number": "1619080017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2127",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362022127",
"telephone_number": "256-236-5631",
"fax_number": "256-241-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 CHRISTINE AVE",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362075710",
"telephone_number": "256-236-5631",
"fax_number": "256-241-2241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNISTON MEDICAL CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2016-03-08",
"status": "A",
"authorized_official_last_name": "CHINDALORE",
"authorized_official_first_name": "VISHALA",
"authorized_official_title_or_position": "RHEUMATOLOGIST",
"authorized_official_telephone_number": "256-236-5631",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AL",
"license": null,
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "AL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHC HEALTH BENEFIT PLAN",
"identifier": "00013001",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000060227",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anniston, AL
- Anniston Family Practice P.C.
- Anniston Gastroenterology Associates
- Anniston General Surgery Center, P.C.
- Anniston Health & Sickroom Supplies Inc
- Anniston Health and Rehab Services, LLC
- Anniston Neurology and Headache Management Center P C
- Anniston Nutrtion Associates
- Anniston OBGYN Associates, P.C.
- Anniston Oncology
- Anniston Orthopedics Associates PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.