NPIMap

Organization Active NPI

Decatur General Hospital

  • Pediatrics Physician
  • Decatur, AL
National Provider Identifier
1720128598
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DECATUR GENERAL HOSPITAL
Practice address
1304 13TH Ave SE
Suite D
Decatur, AL 35601-4359
Phone
(256) 340-2560
Fax
(256) 340-2563
NPI assigned
Feb 8, 2007
Organization subpart
Yes
Parent organization
DECATUR GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Authorized official

Name
James Hahn
Title
Ceo
Phone
(256) 341-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1304 13TH Ave SE
Suite D
Decatur, AL 35601-4359

Mailing address

1304 13TH Ave SE
Suite D
Decatur, AL 35601-4359
Phone (256) 340-2560

Other identifiers 1

IdentifierTypeStateIssuer
F885OtherALBCBS

Other names 1

  • Decatur Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Decatur General Hospita7 organizations share this tax ID, including this one
Part of
Decatur General Hospita

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1720128598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 13TH AVE SE",
            "address_2": "SUITE D",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014359",
            "telephone_number": "256-340-2560",
            "fax_number": "256-340-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 13TH AVE SE",
            "address_2": "SUITE D",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014359",
            "telephone_number": "256-340-2560",
            "fax_number": "256-340-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DECATUR GENERAL HOSPITAL",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-341-2000"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "F885",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decatur Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.