Organization Active NPI

Kenneth E. Pitts, MD, PC

  • Preferred Provider Organization
  • Huntsville, AL
National Provider Identifier
1679839328
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
13214 Issued in AL
Legal business name
KENNETH E. PITTS, MD, PC
Practice address
185 Whitesport Dr SW Ste 4
Huntsville, AL 35801-6487
Phone
(256) 883-0944
Fax
(256) 883-0260
NPI assigned
Apr 6, 2012
Last updated
Oct 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Kenneth E Pitts, MDNPI 1851391494
Title
Owner/Provider
Phone
(256) 883-9044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 13214 AL Primary

Addresses

Primary practice location

185 Whitesport Dr SW Ste 4
Huntsville, AL 35801-6487

Mailing address

185 Whitesport Dr SW Ste 4
Huntsville, AL 35801-6487
Phone (256) 883-0944

Other identifiers 1

IdentifierTypeStateIssuer
000083930MedicaidAL

National Provider Directory

National Provider Directory

Locations

185 Whitesport Dr SW
Ste 4
Huntsville, AL 35801
Phone (256) 715-0464

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1679839328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WHITESPORT DR SW STE 4",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016487",
            "telephone_number": "256-883-0944",
            "fax_number": "256-883-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WHITESPORT DR SW STE 4",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016487",
            "telephone_number": "256-883-0944",
            "fax_number": "256-883-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH E. PITTS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "256-883-9044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AL",
            "license": "13214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000083930",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.