Organization Active NPI

Heart Institute of Andalusia

  • Cardiovascular Disease Physician
  • Andalusia, AL
National Provider Identifier
1780096263
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Gregory D Price, MDNPI 1699761106
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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary
Nuclear Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20140813001527 AL Part B Supplier - Clinic/Group Practice 8224255385 Receives reassigned benefits from 3 practitioners
Practice locations: Andalusia, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2079202Heart Institute of Andalusia LLC215 Medical Park Drive Suite 1, Andalusia, AL 36420Certificate of waiverJun 11, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.