Southern Head & Neck Surgery

Primary specialty

Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X

License

AL16702 Issued in AL

Legal business name

SOUTHERN HEAD & NECK SURGERY

Practice address

3368 Highway 280
Suite G-15
Alexander City, AL 35010-3393

Phone

(256) 329-1114

Fax

(256) 329-3339

NPI assigned

Sep 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Fred W McLeod

Title

Office Manager

Phone

(256) 329-1114

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.146

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fred Anthony McLeod, M. D.

  • Specialist
  • Alexander City, AL
  • NPI 1356305940
  Medicare reassignment Care Compare group NPD
• Jennifer Irene McLeod, PH.D, CRNP

  • Family Nurse Practitioner
  • Alexander City, AL
  • NPI 1447653589
  Medicare reassignment Care Compare group NPD
• Wesley Pinto, MMS, PA

  • Physician Assistant
  • Alexander City, AL
  • NPI 1073894580
  Medicare reassignment Care Compare group
• Spencer J Coleman Sr., MD

  • Family Medicine Physician
  • Wetumpka, AL
  • NPI 1629011770
  NPD (past)
• Britney Lynn Rowell, MSN, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Dothan, AL
  • NPI 1477142198
  NPD (past)
• Alyssa Jordan Wilson, CRNP

  • Nurse Practitioner
  • Dothan, AL
  • NPI 1427573260
  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1710137575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3368 HIGHWAY 280",
            "address_2": "SUITE G-15",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103393",
            "telephone_number": "256-329-1114",
            "fax_number": "256-329-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 HIGHWAY 280",
            "address_2": "SUITE G-15",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103393",
            "telephone_number": "256-329-1114",
            "fax_number": "256-329-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HEAD & NECK SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-329-1114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "AL",
            "license": "AL16702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "AL16702",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Marie Sims, PHARM. D.
• Arthur Smith, LPTA
• Cecilia Daugherty Smith
• Joshua Marshall Smith, CRNP
• Southern Anesthesia Specialists, P.C.
• Katie K Spain-Mansmann, DO
• Richard Charles Speake, RPH
• Mark Franklin Staples, PT
• State of Alabama Department of Public Health
• Douglas D Stewart, DPM

• Otolaryngology Physician in Alexander City, AL
• Providers in Alexander City, AL by specialty
• Otolaryngology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.