NPIMap

Organization Active NPI

North Alabama Neuroservices LLC

  • Neurological Surgery Physician
  • Florence, AL
National Provider Identifier
1639516339
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NORTH ALABAMA NEUROSERVICES LLC
Practice address
2129 Helton Dr
Florence, AL 35630-1069
Phone
(256) 980-6214
Fax
(256) 768-9187
NPI assigned
Jun 4, 2013
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Kathy Teague
Title
Avp
Phone
(615) 920-7646

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X NU
Neurological Surgery Physician 207T00000X NU Primary
Hospitalist Physician 208M00000X NU

Addresses

Primary practice location

2129 Helton Dr
Florence, AL 35630-1069

Mailing address

426 E Dr Hicks Blvd
Florence, AL 35630-5763
Phone (256) 764-7721

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130809000556 AL Part B Supplier - Clinic/Group Practice 4789826348 Receives reassigned benefits from 15 practitioners
Practice locations: Florence, AL; Haleyville, AL; Hamilton, AL; Muscle Shoals, AL; Russellville, AL

National Provider Directory

National Provider Directory

Locations

104 Bexar Ave W
Hamilton, AL 35570
Phone (256) 766-2118

203 Avalon Ave
Ste 130
Muscle Shoals, AL 35661
Phone (256) 383-4447

203 Avalon Ave
Ste 200
Muscle Shoals, AL 35661
Phone (256) 386-1130

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1639516339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 E DR HICKS BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305763",
            "telephone_number": "256-764-7721",
            "fax_number": "256-764-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 HELTON DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301069",
            "telephone_number": "256-980-6214",
            "fax_number": "256-768-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ALABAMA NEUROSERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "AVP",
        "authorized_official_telephone_number": "615-920-7646"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.