Active NPI
GJ&B Services Inc
- Durable Medical Equipment & Medical Supplies
- Northport, AL
National Provider Identifier
1659412146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 332B00000X
- Legal business name
- GJ&B SERVICES INC
- Practice address
- 2103 Lurleen B Wallace Blvd
Northport, AL 35476-3949 - Phone
- (205) 333-8801
- Fax
- (205) 333-8399
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Derek Lamar Collins
- Title
- Owner
- Phone
- (205) 333-8801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 332B00000X | AL | Primary |
Addresses
Primary practice location
2103 Lurleen B Wallace Blvd
Northport, AL 35476-3949
Mailing address
2103 Lurleen B Wallace Blvd
Northport, AL 35476-3949
Phone (205) 333-8801
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51541942 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| 009912239 | Medicaid | AL | |
| 04936718 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
2103 Lurleen B Wallace Blvd
Northport, AL 35476
Phone (205) 333-8801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218412800000",
"number": "1659412146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 LURLEEN B WALLACE BLVD",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354763949",
"telephone_number": "205-333-8801",
"fax_number": "205-333-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 LURLEEN B WALLACE BLVD",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354763949",
"telephone_number": "205-333-8801",
"fax_number": "205-333-8399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GJ&B SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2008-08-11",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "DEREK",
"authorized_official_middle_name": "LAMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-333-8801",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": "332B00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
"identifier": "51541942",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009912239",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04936718",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northport, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.