The Shoals Clinic PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

THE SHOALS CLINIC PC

Practice address

2115 Cloyd Blvd
Suite 1
Florence, AL 35630-7512

Phone

(256) 718-0099

Fax

(256) 718-0006

NPI assigned

Oct 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Siripireddy R Reddy, M.D.

Title

President

Phone

(256) 718-0099

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Pamela J Hill, CRNP

  • Nurse Practitioner
  • Florence, AL
  • NPI 1720178502
  NPD (past)
• Dina Riyad Jannun, M.D.

  • Neurology Physician
  • Florence, AL
  • NPI 1538253075
  NPD (past)
• Ira Lyman Mitchell Jr., M.D.

  • Internal Medicine Physician
  • Florence, AL
  • NPI 1881776078
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750465498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CLOYD BLVD",
            "address_2": "SUITE 1",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356307512",
            "telephone_number": "256-718-0099",
            "fax_number": "256-718-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CLOYD BLVD",
            "address_2": "SUITE 1",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356307512",
            "telephone_number": "256-718-0099",
            "fax_number": "256-718-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHOALS CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SIRIPIREDDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-718-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Health Care Authority of Lauderdale County and the City of Florenc (ECM Psychiatric Associates)
• The Health Care Authority of Lauderdale County and the City of Florenc (The Medical Clinic at ECM East)
• The Healthcare Authority of Lauderdale County and the City of Florence (Eliza Coffee Memorial Hospital - ER)
• The Lung Center, PC
• The Pediatric Dental Clinic
• The Uniform Shop, Inc.
• The West Clinic P.C.
• Therapy South - Florence LLC
• Therapy Village LLC
• Thigpen Counseling and Consulting Services, LLC

• Specialist in Florence, AL
• Providers in Florence, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.