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Organization Active NPI

Primary Care Associates of North Alabama, PC

Doing business as Children's Associates of Athens

  • Pediatrics Physician
  • Athens, AL
National Provider Identifier
1629255278
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24562 Issued in AL
Legal business name
PRIMARY CARE ASSOCIATES OF NORTH ALABAMA, PC
Doing business as
Children's Associates of Athens
Practice address
108 Sanders St
Suite B
Athens, AL 35611-2459
Phone
(256) 216-8863
Fax
(256) 216-5563
NPI assigned
Jan 25, 2008
Last updated
Jan 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Dr. Iqbal A Memon, M.D.
Title
President
Phone
(256) 216-8863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 24562 AL Primary

Addresses

Primary practice location

108 Sanders St
Suite B
Athens, AL 35611-2459

Mailing address

P.O.Box 922
Athens, AL 35612-0922
Phone (256) 216-8863

Other names 1

  • Children's Associates of Athens Doing business as

National Provider Directory

National Provider Directory

Locations

108 Sanders St
Ste B
Athens, AL 35611
Phone (256) 216-8863

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1629255278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 922",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356120922",
            "telephone_number": "256-216-8863",
            "fax_number": "256-216-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SANDERS ST",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112459",
            "telephone_number": "256-216-8863",
            "fax_number": "256-216-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ASSOCIATES OF NORTH ALABAMA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "IQBAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-216-8863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "24562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Associates of Athens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.