Active NPI
Alice Mansell Hardy, M.D.
- Pediatrics Physician
- Sylacauga, AL
National Provider Identifier
1790773380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 00025409
- Practice address
- 209 W Spring St
Suite 300
Sylacauga, AL 35150-2973 - Phone
- (256) 208-0060
- Fax
- (256) 208-0755
- NPI assigned
- Oct 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 00025409 | AL | Primary |
Addresses
Primary practice location
209 W Spring St
Suite 300
Sylacauga, AL 35150-2973
Mailing address
209 W. Spring Street
Suite300
Sylacauga, AL 35150
Phone (256) 208-0060
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171934 | Medicaid | AL | |
| 511-63604 | Other | AL | BCBS CHELSEA |
| 171777 | Medicaid | AL | |
| 511-63551 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00025409 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathway Pediatrics, Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- ahardy@pathwaypeds.opdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Sylacauga, AL
- NPI 1083014658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1790773380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 W. SPRING STREET",
"address_2": "SUITE300",
"city": "SYLACAUGA",
"state": "AL",
"postal_code": "35150",
"telephone_number": "256-208-0060",
"fax_number": "256-208-0755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 W SPRING ST",
"address_2": "SUITE 300",
"city": "SYLACAUGA",
"state": "AL",
"postal_code": "351502973",
"telephone_number": "256-208-0060",
"fax_number": "256-208-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "ALICE",
"middle_name": "MANSELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-09",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "00025409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171934",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CHELSEA",
"identifier": "511-63604",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171777",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "511-63551",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sylacauga, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.