Geriatric Associates of Montgomery, PC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

GERIATRIC ASSOCIATES OF MONTGOMERY, PC

Practice address

1230 Carmichael Way
Montgomery, AL 36106-3671

Phone

(334) 277-7665

Fax

(334) 277-7142

NPI assigned

Dec 21, 2006

Last updated

Aug 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joel C Bolen, MDNPI 1063576130

Title

President

Phone

(334) 277-7665

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 11

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.

• Joel C Bolen, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Montgomery, AL
  • NPI 1063576130
  Medicare reassignment Care Compare group Authorized official
• Courtnye Simmons, CRNP

  • Adult Health Nurse Practitioner
  • Montgomery, AL
  • NPI 1407155369
  Medicare reassignment Care Compare group NPD
• Karen Denise Kelker, CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
  • NPI 1992869051
  Medicare reassignment NPD
• Dorothy Irick Thompson, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Troy, AL
  • NPI 1295489672

  Geriatric Medicine

  Medicare reassignment NPD
• Jennifer Martina Landrum, FNP-BC

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1720551732

  AL

  Medicare reassignment NPD
• Sheri Darlene Guy, RPT

  • Physical Therapist
  • Brewton, AL
  • NPI 1437371861
  NPD (past)
• Melinda K Harden, C.R.N.P

  • Pediatric Nurse Practitioner
  • Wetumpka, AL
  • NPI 1518981687
  NPD (past)
• Christopher Pritchett, NP

  • Nurse Practitioner
  • Montgomery, AL
  • NPI 1326093485
  NPD (past)
• Earline Rogers, CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
  • NPI 1841307519
  NPD (past)
• Michael Daron Rowell, OTR-L

  • Occupational Therapist
  • Brewton, AL
  • NPI 1679785679
  NPD (past)
• Crystal Joyette Hopkins, DNP, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • St Petersburg, FL
  • NPI 1124214663
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1679637912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 CARMICHAEL WAY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063671",
            "telephone_number": "334-277-7665",
            "fax_number": "334-277-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 CARMICHAEL WAY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063671",
            "telephone_number": "334-277-7665",
            "fax_number": "334-277-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC ASSOCIATES OF MONTGOMERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "BOLEN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-277-7665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George W. Demuth, M.D. LLC.
• Shundreya George-Jefferson, OTR/L
• Brenda T George, RPH
• Vera Williams George, CRNP
• Gerald Lim, M.D., PC
• Shaquila Germany
• Warren C Gewant, M.D.
• GFG Counseling and Consulting Services
• Brittany Simone Gholston, RN
• Elena Giannas, PA-C

• Geriatric Medicine (Family Medicine) Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Geriatric Medicine (Family Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.