Decatur General Hospital

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD29393 Issued in AL

Legal business name

DECATUR GENERAL HOSPITAL

Doing business as

Tanya D DeLaVergne, MD

Practice address

1215 7TH St SE
Suite 230
Decatur, AL 35601-3337

Phone

(256) 350-4855

Fax

(256) 350-4866

NPI assigned

Apr 6, 2012

Last updated

Apr 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dean Griffin

Title

Ceo

Phone

(256) 341-2000

Specialties & licenses 1

Addresses

Other names 1

• Tanya D DeLaVergne, MD Doing business as

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1780940494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2239",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356092239",
            "telephone_number": "256-350-4855",
            "fax_number": "256-350-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 7TH ST SE",
            "address_2": "SUITE 230",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013337",
            "telephone_number": "256-350-4855",
            "fax_number": "256-350-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-341-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD29393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tanya D DeLaVergne, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Decatur General Hospital (Hiteshri Bhavsar, MD)
• Decatur General Hospital (Decatur Cardiology)
• Decatur General Hospital (Mark A Sweeny, M.D.)
• Decatur General Hospital (Decatur Pediatrics)
• Decatur General Hospital (Internal Medicine Matthews/Neal)
• Decatur General Hospital (Janice Neal, M.D.)
• Decatur General Hospital (Decatur Heart and Vascular)
• Decatur General Hospital (Monarch Women's Health)
• Decatur General Oncology Center, LLC
• Decatur Health Imaging L L C

• Pediatrics Physician in Decatur, AL
• Providers in Decatur, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.