NPIMap

Individual provider Active NPI

Anthony Jerome Nix Jr., M.D.

  • Family Medicine Physician
  • Sylacauga, AL
National Provider Identifier
1770874695
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L.3478R Issued in AL
Practice address
209 W Spring St
Suite 100
Sylacauga, AL 35150-2973
Phone
(256) 401-4686
Fax
(256) 401-4694
NPI assigned
Apr 26, 2011
Last updated
Jul 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L.3478R AL Primary

Addresses

Primary practice location

209 W Spring St
Suite 100
Sylacauga, AL 35150-2973

Mailing address

315 W Hickory St
Sylacauga, AL 35150-2913
Phone (256) 207-0209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130613000469 AL Practitioner - Family Practice 6002055530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

33733 US Hwy 280
Childersburg, AL 35044-3017
Phone (256) 378-3301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.03 of 100Reported as group
Quality
58.1
Promoting interoperability
96
Improvement activities
40
Cost
72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L.3478RALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Sylacauga Health Care Authority Family Medicine CurrentSince Jul 14, 2014 Accepting new patients
The Sylacauga Health Care Authority CurrentSince Jul 14, 2014 Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients
Sylacauga Health Care Authority Inc Past Accepting new patients

Locations

33733 US Highway 280
Childersburg, AL 35044
Phone (256) 378-3301

9518 US Highway 231
Rockford, AL 35136
Phone (256) 377-4366

110 S Anniston Ave
Sylacauga, AL 35150
Phone (256) 207-0200

209 W Spring St
Ste 100
Sylacauga, AL 35150
Phone (256) 249-5888

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

Interoperability endpoints

  • Direct secure messaging: anthony.nix@cvmc.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1770874695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W HICKORY ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502913",
            "telephone_number": "256-207-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST",
            "address_2": "SUITE 100",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502973",
            "telephone_number": "256-401-4686",
            "fax_number": "256-401-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIX",
        "first_name": "ANTHONY",
        "middle_name": "JEROME",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L.3478R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

Verify at the official NPI Registry.