Organization Active NPI

Shoals Gastroenterology LLC

  • Gastroenterology Physician
  • Sheffield, AL
National Provider Identifier
1780011668
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SHOALS GASTROENTEROLOGY LLC
Practice address
1120 S Jackson Hwy
Suite 201
Sheffield, AL 35660-5777
Phone
(256) 381-6304
Fax
(256) 381-6307
NPI assigned
Oct 8, 2013
Last updated
Oct 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Dr. Abhinandana Anantharaju
Title
Sole Member/Physician
Phone
(256) 381-6304

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1120 S Jackson Hwy
Suite 201
Sheffield, AL 35660-5777

Mailing address

PO Box 298
Florence, AL 35631-0298
Phone (256) 767-7494

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1780011668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356310298",
            "telephone_number": "256-767-7494",
            "fax_number": "256-765-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY",
            "address_2": "SUITE 201",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605777",
            "telephone_number": "256-381-6304",
            "fax_number": "256-381-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS GASTROENTEROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "ANANTHARAJU",
        "authorized_official_first_name": "ABHINANDANA",
        "authorized_official_title_or_position": "SOLE MEMBER/PHYSICIAN",
        "authorized_official_telephone_number": "256-381-6304",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.