Organization Active NPI

Gadsden Regional Primary Care LLC

  • Neurological Surgery Physician
  • Anniston, AL
National Provider Identifier
1811950686
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
GADSDEN REGIONAL PRIMARY CARE LLC
Practice address
1700 Christine Ave Ste 101
Anniston, AL 36207-3813
Phone
(256) 237-7659
NPI assigned
Apr 11, 2006
Organization subpart
Yes
Parent organization
GADSDEN REGIONAL PRIMARY CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
James P Wright
Title
VP Physician Business Services
Phone
(615) 788-1502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

1700 Christine Ave Ste 101
Anniston, AL 36207-3813

Mailing address

7100 Commerce Way
Suite 180
Brentwood, TN 37027-2829
Phone (615) 465-7000

Other identifiers 1

IdentifierTypeStateIssuer
529924130MedicaidAL

Other names 1

  • Northeast Regional Primary Care Inc Doing business as

National Provider Directory

National Provider Directory
Part of
Gadsdon Reg Primary Care

Locations

1820 Leighton Ave
Anniston, AL 36207
Phone (256) 237-7659

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1811950686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 COMMERCE WAY",
            "address_2": "SUITE 180",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272829",
            "telephone_number": "615-465-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CHRISTINE AVE STE 101",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362073813",
            "telephone_number": "256-237-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADSDEN REGIONAL PRIMARY CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GADSDEN REGIONAL PRIMARY CARE LLC",
        "enumeration_date": "2006-04-11",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP PHYSICIAN BUSINESS SERVICES",
        "authorized_official_telephone_number": "615-788-1502"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529924130",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Regional Primary Care Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northeast Regional Primary Care Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 17, 2019; 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.