Northern Alabama Physicians, LLP
Organization Active NPI Emergency Medicine Physician · Decatur, AL
NPI 1669618310 · NPPES record last updated Apr 27, 2022
Key facts
- NPI
- 1669618310
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- NORTHERN ALABAMA PHYSICIANS, LLP
- Practice address
- 1201 7TH Street Southeast
Decatur, AL 35601-3303 - Phone
- (256) 341-2000
- Fax
- (256) 341-2648
- NPI assigned
- Dec 31, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Derik K King, MD
- Title
- LLP Managing Partner
- Phone
- (337) 609-1221
Other NPIs on the same Medicare enrollment 2
Practitioners 132
-
Lisa Adamson, CRNP
-
Marc Chatman, CRNP
-
Jennifer M Parrish, CRNP
-
Starla Renea Slay, CRNP
-
Neelam Riaz Khan, MD
-
Michael Andrew Wheat, D.O.
-
Adetunji A. Adaraloye, D.O., M.P.H.
-
Smithson Onyebuchi Ahiabuike, M.D.,
-
Sai Avula, M.D.
-
Taiwo Ayileka, MD
-
Nicholas Bass, AGPCNP-BC
-
Paola Reese Bass, MD
-
George Baxter, MD
-
Michael Paul Brisson, DO, PHD, MPH, FAWM
-
Deborah Ivy Brown, FNP-C
-
John H Burgess, MD
-
Peter L Buzas, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090519000375 | AL | Part B Supplier - Clinic/Group Practice | 0143379388 |
Receives reassigned benefits from 128 practitioners 2 other NPIs on this enrollment Practice locations: Dothan, AL; Enterprise, AL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | AL | Yes |
Addresses
Primary practice location
1201 7TH Street Southeast
Decatur, AL 35601-3303
Mailing address
PO Box 602162
Charlotte, NC 28260-2162
Phone (866) 916-5259
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109022 | Medicaid | AL | |
| 1669618310 | Medicaid | AL |
Other providers in Decatur, AL
- North Alabama Radiology
- North Alabama Rehabilitation and Pain Specialist LLC
- North Central Alabama Mental Retardation Authority, Inc.
- North Central Alabama Mental Retardation Authority, Inc.
- North Central Alabama Regional Council of Governments
- Northland Hearing Centers, Inc.
- Northland Hearing Centers, Inc.
- Eston Gibbons Norwood III
- NRD MD LLC
- Holley O'Connell
All providers in Decatur, AL · Emergency Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.