Charles E Eldridge, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

16342 Issued in AL

Practice address

614 W Bypass
Andalusia, AL 36420-4731

Phone

(334) 222-3555

Fax

(334) 427-9522

NPI assigned

Sep 28, 2006

Last updated

Mar 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

University of Louisville School of Medicine, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

4 Points Primary Care LLCGroup PAC ID 9830665264, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 4 Points Primary Care LLC

  • Internal Medicine Physician
  • Andalusia, AL
  • NPI 1184587339
  Medicare reassignment Care Compare group
• Andalusia Physician Practices LLC

  dba Andalusia Neurology

  • Neurology Physician
  • Andalusia, AL
  • NPI 1437202009
  Medicare reassignment NPD
• Andalusia Physician Practices LLC

  dba Andalusia Family Healthcare

  • Rural Health Clinic/Center
  • Andalusia, AL
  • NPI 1417663576
  NPD
• Andalusia Physician Practices LLC

  dba Andalusia Family Healthcare

  • Family Medicine Physician
  • Andalusia, AL
  • NPI 1972870335
  NPD
• Covington Pediatrics PA

  • Pediatrics Physician
  • Andalusia, AL
  • NPI 1093731242
  NPD
• Covington Pediatrics PA

  • Pediatrics Physician
  • Andalusia, AL
  • NPI 1336157353
  NPD

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1629160635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 W BYPASS",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364204731",
            "telephone_number": "334-222-3555",
            "fax_number": "334-427-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W BYPASS",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364204731",
            "telephone_number": "334-222-3555",
            "fax_number": "334-427-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "CHARLES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AL",
            "license": "16342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51087383",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009203410",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda Karen Doulin, CRNP
• Rodney Drish Jr.
• DRS King and Burkhardt, P.C.
• Riley Theron Dubose
• Joseph Gantt Eiland, DMD
• Colton Elmore, 390200000X
• Jill Cason Elmore, CNRP
• Essential Movement Physical Therapy, LLC
• Shanice Latrell Feagin
• James Corbin Ferguson, DO

• Pediatric Adolescent Medicine Physician in Andalusia, AL
• Providers in Andalusia, AL by specialty
• Pediatric Adolescent Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.