Individual provider Active NPI

Ashley Laura Anyadike X, PA-C

  • Obstetrics & Gynecology Physician
  • Opelika, AL
National Provider Identifier
1669932190
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1470 Issued in AL
Practice address
2505 Village Professional Dr
Opelika, AL 36801-2381
Phone
(334) 705-2900
Fax
(334) 705-2909
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1470 AL Primary

Addresses

Primary practice location

2505 Village Professional Dr
Opelika, AL 36801-2381

Mailing address

2505 Village Professional Dr
Opelika, AL 36801-2381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190725001352 AL Practitioner - Physician Assistant 3870829047 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1669932190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 VILLAGE PROFESSIONAL DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368012381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 VILLAGE PROFESSIONAL DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368012381",
            "telephone_number": "334-705-2900",
            "fax_number": "334-705-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYADIKE",
        "first_name": "ASHLEY",
        "middle_name": "LAURA",
        "name_suffix": "X",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "1470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.