Organization Active NPI

Health Quest, L.L.C.

Doing business as Health Quest Medical Wellness Center

  • General Practice Physician
  • Scottsboro, AL
National Provider Identifier
1760548804
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14402 Issued in AL
Legal business name
HEALTH QUEST, L.L.C.
Doing business as
Health Quest Medical Wellness Center
Practice address
515 Veterans Dr
Scottsboro, AL 35768-2128
Phone
(256) 574-3067
Fax
(256) 574-4186
NPI assigned
Dec 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
Rebecca Hicks, M.D.NPI 1346306867
Title
Co-Owner, Physician
Phone
(256) 574-3067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 14402 AL Primary

Addresses

Primary practice location

515 Veterans Dr
Scottsboro, AL 35768-2128

Mailing address

515 Veterans Dr
Scottsboro, AL 35768-2128
Phone (256) 574-3067

Other identifiers 2

IdentifierTypeStateIssuer
529908740MedicaidAL
515-04522OtherALBCBSAL

Other names 1

  • Health Quest Medical Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040427001619 AL Part B Supplier - Clinic/Group Practice 1355338898 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsboro, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0992964Health Quest515 Veterans Dr, Scottsboro, AL 35768Provider-performed microscopyOct 30, 2027

National Provider Directory

National Provider Directory

Locations

515 Veterans Dr
Scottsboro, AL 35768
Phone (256) 574-3067

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": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1760548804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 VETERANS DR",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682128",
            "telephone_number": "256-574-3067",
            "fax_number": "256-574-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 VETERANS DR",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682128",
            "telephone_number": "256-574-3067",
            "fax_number": "256-574-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH QUEST, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CO-OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "256-574-3067",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AL",
            "license": "14402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529908740",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL",
            "identifier": "515-04522",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Quest Medical Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.