Individual provider Active NPI

Chante Mitchell Ruffin, MD

  • Pediatrics Physician
  • Alexander City, AL
National Provider Identifier
1710142773
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD30086 Issued in AL
Practice address
1962 Cherokee Road
Alexander City, AL 35010
Phone
(256) 234-5021
NPI assigned
Jul 18, 2008
Last updated
Apr 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD30086 AL Primary

Addresses

Primary practice location

1962 Cherokee Road
Alexander City, AL 35010

Mailing address

1962 Cherokee Road
Alexander City, AL 35010
Phone (256) 234-5021

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190820003593 AL Practitioner - Pediatric Medicine 9032261151 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD30086ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Urgent Care, LLC Pediatrics CurrentSince May 1, 2019 Accepting new patients
Tadpole Pediatrics, LLC Pediatrics Past Accepting new patients
Pediatric Associates of Alexander City PC Pediatrics Past Accepting new patients
Urgent Care for Children, PLLC Pediatrics PastSince Oct 11, 2020 Accepting new patients
Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola Past Accepting new patients
Russell Hospital Corporation Past Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1710142773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 CHEROKEE ROAD",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "35010",
            "telephone_number": "256-234-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 CHEROKEE ROAD",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "35010",
            "telephone_number": "256-234-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFIN",
        "first_name": "CHANTE",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD30086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

Verify at the official NPI Registry.