Shoals Orthopedics and Sports Medicine

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SHOALS ORTHOPEDICS AND SPORTS MEDICINE

Practice address

203 Avalon Ave
Suite 230
Muscle Shoals, AL 35661-2869

Phone

(256) 718-4041

Fax

(256) 718-3665

NPI assigned

Aug 3, 2012

Organization subpart

No

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

Authorized official

Name

Lee Nichols Jr., M.D.NPI 1922152503

Title

President

Phone

(256) 718-4041

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shoals Orthopedics Former legal business name

Tax ID family

Shoals Orthopedics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shoals Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Florence, AL
  • NPI 1194073395
  NPD tax ID

Practitioners 1

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.

• Lee Nichols Jr., M.D.

  • Orthopaedic Surgery Physician
  • Florence, AL
  • NPI 1922152503
  Authorized official Same address or phone

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1760738199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 W COLLEGE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305521",
            "telephone_number": "256-718-4041",
            "fax_number": "256-718-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 AVALON AVE",
            "address_2": "SUITE 230",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612869",
            "telephone_number": "256-718-4041",
            "fax_number": "256-718-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS ORTHOPEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-718-4041",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "4562760001",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529911910",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoals Orthopedics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tomie Lee Shiflet, DC
• Shoal's Family Practice-Urgent Care LLC
• Shoals Family Chiropractic, LLC
• Shoals Family Clinic
• Shoals Health Group LLC
• Shoals Pathology Associates Inc
• Shoals Pathology Associates Inc
• Shoals Premier Medical LLC
• Shoals Radiology Associates PC (Open MRI of North Alabama)
• Shoals Rehab Professionals LLC

• Orthopaedic Surgery Physician in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Orthopaedic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.