Practice Builders, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PRACTICE BUILDERS, LLC

Practice address

723 Berea Ave
Gadsden, AL 35901-4155

Phone

(256) 312-8988

Fax

(877) 480-9640

NPI assigned

Feb 24, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jamie WallerNPI 1679933220

Title

Administrator

Phone

(256) 312-8988

Specialties & licenses 1

Addresses

Other names 1

• Restore Medical Associates Doing business as

Locations

Practitioners 1

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

• Jamie Waller

  • Clinic/Center
  • Gadsden, AL
  • NPI 1679933220
  NPD (past) Authorized official

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1801256458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 BELLEVUE DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359043622",
            "telephone_number": "256-295-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 BEREA AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014155",
            "telephone_number": "256-312-8988",
            "fax_number": "877-480-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE BUILDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-312-8988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Pileggi, DC
• Cathy S Pinkston, RPH
• John Frances Pirani, MD
• Labreeska Ponder, LPTA
• Julie Pope, CRNA
• Jean Pratt, DPM
• Premise Health of Alabama Medical PC
• Pamela E Prestridge, LCSW, PIP
• John Bryan Priest, MD
• Prime Healthcare Services - Gadsden LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.