NPIMap

Organization Active NPI

Gadsden Pediatric Clinic, P.a.

  • Pediatrics Physician
  • Gadsden, AL
National Provider Identifier
1801851431
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GADSDEN PEDIATRIC CLINIC, P.A.
Practice address
501 Bay St
Gadsden, AL 35901-5181
Phone
(256) 543-2894
Fax
(256) 543-8185
NPI assigned
Apr 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Maurice Earnest Dennis, M.D.NPI 1386609683
Title
President
Phone
(256) 543-2894

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

501 Bay St
Gadsden, AL 35901-5181

Mailing address

501 Bay St
Gadsden, AL 35901-5181
Phone (256) 543-2894

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
01D0303491Gadsden Pediatric Clinic PA501 Bay Street, Gadsden, AL 35901ComplianceFeb 1, 2028

National Provider Directory

National Provider Directory

Locations

501 Bay St
Gadsden, AL 35901
Phone (256) 543-2894

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801851431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BAY ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015181",
            "telephone_number": "256-543-2894",
            "fax_number": "256-543-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BAY ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015181",
            "telephone_number": "256-543-2894",
            "fax_number": "256-543-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADSDEN PEDIATRIC CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "EARNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-543-2894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.