Organization Active NPI

Women'S Healthcare of Northeast Alabama

  • Obstetrics & Gynecology Physician
  • Anniston, AL
National Provider Identifier
1811652142
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMEN'S HEALTHCARE OF NORTHEAST ALABAMA
Practice address
825 Keith Ave
Anniston, AL 36207-4760
Phone
(256) 238-0448
Fax
(256) 238-1685
NPI assigned
Nov 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Rachel Ford, MDNPI 1295268316
Title
MD
Phone
(256) 238-0448

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

825 Keith Ave
Anniston, AL 36207-4760

Mailing address

825 Keith Ave
Anniston, AL 36207-4760
Phone (256) 238-0448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211104003075 AL Part B Supplier - Clinic/Group Practice 2961891379 Receives reassigned benefits from 1 practitioner
Practice locations: Anniston, 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
01D2266717Women'S Healthcare of Northeast Alabama825 Keith Ave, Anniston, AL 36207Certificate of waiverAug 14, 2026

National Provider Directory

National Provider Directory

Locations

825 Keith Ave
Anniston, AL 36207
Phone (256) 238-0448

Practitioners & affiliated clinicians

Practitioners 2

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": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1811652142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 KEITH AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074760",
            "telephone_number": "256-238-0448",
            "fax_number": "256-238-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 KEITH AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074760",
            "telephone_number": "256-238-0448",
            "fax_number": "256-238-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTHCARE OF NORTHEAST ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "256-238-0448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.