Active NPI
BHC - Jemison
- Family Medicine Physician
- Jemison, AL
National Provider Identifier
1760446876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BHC - JEMISON
- Practice address
- 25420 US Highway 31
Jemison, AL 35085-7868 - Phone
- (205) 668-1616
- Fax
- (205) 668-1038
- NPI assigned
- Apr 14, 2006
- Last updated
- Jan 22, 2016
- Organization subpart
- Yes
- Parent organization
- BAPTIST HEALTH CENTERS, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Valeta D Neal
- Title
- President
- Phone
- (205) 715-5901
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | NU |
Addresses
Primary practice location
25420 US Highway 31
Jemison, AL 35085-7868
Mailing address
25420 US Highway 31
Jemison, AL 35085-7868
Phone (205) 668-1616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180258 | Medicaid | AL | |
| 529701970 | Medicaid | AL |
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.
-
dba Baptist Health Medical Group
- Specialist
- Talladega, AL
- NPI 1669436721
Member Of
Locations
25420 US Highway 31
Jemison, AL 35085
Phone (205) 668-1616
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": "1453420800000",
"number": "1760446876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25420 US HIGHWAY 31",
"city": "JEMISON",
"state": "AL",
"postal_code": "350857868",
"telephone_number": "205-668-1616",
"fax_number": "205-668-1038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25420 US HIGHWAY 31",
"city": "JEMISON",
"state": "AL",
"postal_code": "350857868",
"telephone_number": "205-668-1616",
"fax_number": "205-668-1038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BHC - JEMISON",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAPTIST HEALTH CENTERS, INC",
"enumeration_date": "2006-04-14",
"last_updated": "2016-01-22",
"status": "A",
"authorized_official_last_name": "NEAL",
"authorized_official_first_name": "VALETA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-715-5901"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180258",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529701970",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jemison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.