Individual provider Active NPI

Joseph William Farina Jr., M.D.

  • Neurology Physician
  • Cullman, AL
National Provider Identifier
1710011499
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
12157 Issued in AL
Practice address
1800 Al Highway 157 Ste 100
Cullman, AL 35058-1273
Phone
(256) 736-1615
Fax
(256) 736-1579
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 11664 MS
Neurology Physician 2084N0400X 12157 AL Primary

Addresses

Primary practice location

1800 Al Highway 157 Ste 100
Cullman, AL 35058-1273

Mailing address

1800 Al Highway 157 Ste 100
Cullman, AL 35058-1273
Phone (256) 736-1615

Other practice location 1

118 N Broadway
2nd Floor
McComb, MS 39648-3914
Phone (601) 249-2491

Other identifiers 1

IdentifierTypeStateIssuer
0118301MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11664MSMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mittal Kidney and Dialysis PC PastSince May 1, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFDAA

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1710011499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 AL HIGHWAY 157 STE 100",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350581273",
            "telephone_number": "256-736-1615",
            "fax_number": "256-736-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 AL HIGHWAY 157 STE 100",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350581273",
            "telephone_number": "256-736-1615",
            "fax_number": "256-736-1579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 N Broadway",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396483914",
            "country_code": "US",
            "telephone_number": "601-249-2491",
            "fax_number": "601-249-2885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARINA",
        "first_name": "JOSEPH",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "11664",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "12157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118301",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.