Active NPI
Heart Institute of Andalusia
- Cardiovascular Disease Physician
- Andalusia, AL
National Provider Identifier
1780096263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- HEART INSTITUTE OF ANDALUSIA
- Practice address
- 215 Medical Park Dr
Suite 1
Andalusia, AL 36420-5354 - Phone
- (334) 222-4327
- Fax
- (334) 222-4333
- NPI assigned
- Jun 2, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory D Price, MD
- Title
- MD, Owner
- Phone
- (334) 222-4327
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Nuclear Cardiology Physician | 207UN0901X |
Addresses
Primary practice location
215 Medical Park Dr
Suite 1
Andalusia, AL 36420-5354
Mailing address
215 Medical Park Dr
Suite 1
Andalusia, AL 36420-5354
Phone (334) 222-4327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2079202 | Heart Institute of Andalusia LLC | Certificate of waiver | Jun 11, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Andalusia, AL
- NPI 1699761106
-
- Family Nurse Practitioner
- Andalusia, AL
- NPI 1033431465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401667200000",
"number": "1780096263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 MEDICAL PARK DR",
"address_2": "SUITE 1",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364205354",
"telephone_number": "334-222-4327",
"fax_number": "334-222-4333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 MEDICAL PARK DR",
"address_2": "SUITE 1",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364205354",
"telephone_number": "334-222-4327",
"fax_number": "334-222-4333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART INSTITUTE OF ANDALUSIA",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-02",
"last_updated": "2014-06-02",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MD, OWNER",
"authorized_official_telephone_number": "334-222-4327",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andalusia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.