Organization Active NPI

BHC-Blount & Etowah Counties

Doing business as BHC-Oneonta

  • Family Medicine Physician
  • Oneonta, AL
National Provider Identifier
1720042963
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BHC-BLOUNT & ETOWAH COUNTIES
Doing business as
BHC-Oneonta
Practice address
150 Gilbreath Dr
Suite 201
Oneonta, AL 35121-2827
Phone
(205) 274-8198
Fax
(205) 274-8197
NPI assigned
Apr 14, 2006
Last updated
Mar 30, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST HEALTH CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
George Scott Fenn
Title
Chief Integration Officer
Phone
(205) 715-5415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

150 Gilbreath Dr
Suite 201
Oneonta, AL 35121-2827

Mailing address

PO Box 830605
Birmingham, AL 35283-0605
Phone (205) 715-5943

Other identifiers 2

IdentifierTypeStateIssuer
541003873MedicaidAL
529301940MedicaidAL

Other names 1

  • BHC-Oneonta Doing business as

National Provider Directory

National Provider Directory
Part of
Baptist Health Centers LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

203 Shirley St
Oneonta, AL 35121
Phone (205) 274-8198

Practitioners & affiliated clinicians

Practitioners 2

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": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1720042963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830605",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352830605",
            "telephone_number": "205-715-5943",
            "fax_number": "205-715-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GILBREATH DR",
            "address_2": "SUITE 201",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351212827",
            "telephone_number": "205-274-8198",
            "fax_number": "205-274-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHC-BLOUNT & ETOWAH COUNTIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HEALTH CENTERS, INC.",
        "enumeration_date": "2006-04-14",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "FENN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF INTEGRATION OFFICER",
        "authorized_official_telephone_number": "205-715-5415"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541003873",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529301940",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHC-Oneonta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oneonta, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.