NPIMap

Organization Active NPI

Phenix City Pulmonary & Critical Care, P.C.

  • Pulmonary Disease Physician
  • Phenix City, AL
National Provider Identifier
1619167350
Registry record updated Jan 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
059999 Issued in GA
Legal business name
PHENIX CITY PULMONARY & CRITICAL CARE, P.C.
Practice address
5009 River Chase Dr
BLDG 600 Ste a
Phenix City, AL 36867-7425
Phone
(334) 291-1288
Fax
(334) 291-1290
NPI assigned
Jul 30, 2007
Last updated
Jan 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2012

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

Authorized official

Name
Syed M. Mahmood, M.D.
Title
Owner
Phone
(334) 291-1288

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 28220 AL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 059999 GA
Pulmonary Disease Physician 207RP1001X 28220 AL
Pulmonary Disease Physician 207RP1001X 059999 GA Primary

Addresses

Primary practice location

5009 River Chase Dr
BLDG 600 Ste a
Phenix City, AL 36867-7425

Mailing address

PO Box 2585
Columbus, GA 31902-2585
Phone (334) 291-1288

Other identifiers 1

IdentifierTypeStateIssuer
529932959MedicaidAL

National Provider Directory

National Provider Directory

Locations

5009 Riverchase Dr
#A
Phenix City, AL 36867
Phone (334) 291-1288

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327708800000",
    "number": "1619167350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2585",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319022585",
            "telephone_number": "334-291-1288",
            "fax_number": "334-291-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 RIVER CHASE DR",
            "address_2": "BLDG 600 STE A",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677425",
            "telephone_number": "334-291-1288",
            "fax_number": "334-291-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENIX CITY PULMONARY & CRITICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2012-01-28",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-291-1288",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AL",
            "license": "28220",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "059999",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "28220",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "059999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529932959",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2012; 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.