NPIMap

Organization Active NPI

Phenix City Convenient Care

  • Family Medicine Physician
  • Phenix City, AL
National Provider Identifier
1780031039
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20168 Issued in AL
Legal business name
PHENIX CITY CONVENIENT CARE
Practice address
600 16TH St
Suite a
Phenix City, AL 36867-5005
Phone
(334) 384-1600
Fax
(334) 384-1599
NPI assigned
May 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Dr. Jeannette Pope-Ozimba, DDS
Title
Owner
Phone
(229) 395-6869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20168 AL Primary

Addresses

Primary practice location

600 16TH St
Suite a
Phenix City, AL 36867-5005

Mailing address

1904 St Andrews Way
Phenix City, AL 36867-7406
Phone (229) 395-6869

National Provider Directory

National Provider Directory

Locations

600 16th St
Ste A
Phenix City, AL 36867
Phone (334) 384-1600

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1780031039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 ST ANDREWS WAY",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677406",
            "telephone_number": "229-395-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 16TH ST",
            "address_2": "SUITE A",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368675005",
            "telephone_number": "334-384-1600",
            "fax_number": "334-384-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENIX CITY CONVENIENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "POPE-OZIMBA",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-395-6869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "20168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.