Active NPI
Pro-Med, P.C.
- Family Medicine Physician
- Greenville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19482
- Legal business name
- PRO-MED, P.C.
- Practice address
- 302 Paul Stabler Drive
Greenville, AL 36037-3871 - Phone
- (334) 382-0530
- Fax
- (334) 382-0498
- NPI assigned
- Mar 27, 2006
- Last updated
- Oct 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chandra Shekar, M.D.
- Title
- President
- Phone
- (334) 382-0530
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19482 | AL | Primary |
Addresses
Primary practice location
302 Paul Stabler Drive
Greenville, AL 36037-3871
Mailing address
302 Paul Stabler Dr
Greenville, AL 36037-3128
Phone (334) 382-0530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000030326 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0909012 | Pro-Med PC | Certificate of waiver | Jun 10, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Greenville, AL
- NPI 1881889624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286150400000",
"number": "1811957467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 PAUL STABLER DR",
"city": "GREENVILLE",
"state": "AL",
"postal_code": "360373128",
"telephone_number": "334-382-0530",
"fax_number": "334-382-0498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 PAUL STABLER DRIVE",
"city": "GREENVILLE",
"state": "AL",
"postal_code": "360373871",
"telephone_number": "334-382-0530",
"fax_number": "334-382-0498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO-MED, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-27",
"last_updated": "2010-10-04",
"status": "A",
"authorized_official_last_name": "SHEKAR",
"authorized_official_first_name": "CHANDRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "334-382-0530",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "19482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000030326",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, AL
- Pine Needle of Greenville
- Poised Counseling and Consulting, LLC
- Carol A Pope, D.C.
- Jada Pasha Posey
- James Robert Powell, LPC
- Ramana Kumar Puppala, M.D.
- Rehab Associates, LLC (Rehab Associates - Greenville)
- Andrea Janaei Reynolds
- Gary Meade Richardson, M.D.
- Rmcca Clinic a LLC (Regional Medical Center Clinics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.