Organization Active NPI

Surgical Associates of Marshall County

  • Surgery Physician
  • Albertville, AL
National Provider Identifier
1760425482
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL ASSOCIATES OF MARSHALL COUNTY
Practice address
133 Wall St.
Albertville, AL 35951
Phone
(256) 840-5547
Fax
(256) 840-5547
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Amye W Groves, CRNP
Title
Nurse Practitioner
Phone
(256) 840-5547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

133 Wall St.
Albertville, AL 35951

Mailing address

133 Wall St.
Albertville, AL 35951
Phone (256) 840-5547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050111000062 AL Part B Supplier - Clinic/Group Practice 8224086806 Receives reassigned benefits from 2 practitioners
Practice locations: Albertville, AL; Guntersville, AL

National Provider Directory

National Provider Directory

Locations

2525 US Highway 431
Ste 104
Boaz, AL 35957
Phone (256) 840-4653

Practitioners & affiliated clinicians

Practitioners 2

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1760425482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 WALL ST.",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "35951",
            "telephone_number": "256-840-5547",
            "fax_number": "256-840-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WALL ST.",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "35951",
            "telephone_number": "256-840-5547",
            "fax_number": "256-840-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF MARSHALL COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "AMYE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "256-840-5547",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.