Active NPI
James Wesley Rabon, PHYSICIAN
- Pediatric Adolescent Medicine Physician
- Montgomery, AL
National Provider Identifier
1659329191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 00009789
- Practice address
- 420 Cotton Gin Rd
Montgomery, AL 36117-3557 - Phone
- (334) 260-9129
- Fax
- (334) 260-9665
- NPI assigned
- May 5, 2006
- Last updated
- Apr 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 00009789 | AL | Primary |
Addresses
Primary practice location
420 Cotton Gin Rd
Montgomery, AL 36117-3557
Mailing address
420 Cotton Gin Rd
Montgomery, AL 36117-3557
Phone (334) 260-9129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008304620 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00009789 | AL | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montgomery Pediatric Assoc, P.a. | Adolescent Medicine | Past | Accepting new patients |
Networks
- bcbs alabama network 01B0
- bcbs alabama network 01A0
- bcbs alabama network 01G0
- bcbs alabama network 01E0
- bcbs alabama network 01C0
Organizations & group practices 1
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.
-
- Pediatric Adolescent Medicine Physician
- Montgomery, AL
- NPI 1770532681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1659329191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 COTTON GIN RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173557",
"telephone_number": "334-260-9129",
"fax_number": "334-260-9665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 COTTON GIN RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173557",
"telephone_number": "334-260-9129",
"fax_number": "334-260-9665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABON",
"first_name": "JAMES",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "PHYSICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "AL",
"license": "00009789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008304620",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.