Organization Active NPI

Rogersville Pediatrics,LLC

  • Pediatrics Physician
  • Rogersville, AL
National Provider Identifier
1740543685
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ROGERSVILLE PEDIATRICS,LLC
Practice address
16023 Highway 72
Rogersville, AL 35652-8141
Phone
(256) 386-4151
NPI assigned
Jun 15, 2012
Last updated
Aug 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Rebecca Thompson
Title
CRNP/ Office Manager
Phone
(256) 386-4151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

16023 Highway 72
Rogersville, AL 35652-8141

Mailing address

1120 S Jackson Hwy
Suite 304
Sheffield, AL 35660-5777
Phone (256) 386-4151

National Provider Directory

National Provider Directory

Locations

16023 Highway 72
Rogersville, AL 35652
Phone (256) 247-0093

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1740543685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY",
            "address_2": "SUITE 304",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605777",
            "telephone_number": "256-386-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16023 HIGHWAY 72",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "356528141",
            "telephone_number": "256-386-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERSVILLE PEDIATRICS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CRNP/ OFFICE MANAGER",
        "authorized_official_telephone_number": "256-386-4151"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.