NPIMap

Organization Active NPI

Clinic for Neurology, PA

  • Neurology Physician
  • Huntsville, AL
National Provider Identifier
1831264597
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CLINIC FOR NEUROLOGY, PA
Practice address
185 Chateau Dr SW Ste 301
Huntsville, AL 35801-7413
Phone
(256) 533-4402
Fax
(256) 551-1902
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Jennifer Brooks Perry
Title
Practice Manager
Phone
(256) 533-4402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

185 Chateau Dr SW Ste 301
Huntsville, AL 35801-7413

Mailing address

185 Chateau Dr SW Ste 301
Huntsville, AL 35801-7413
Phone (256) 533-4402

Other identifiers 1

IdentifierTypeStateIssuer
528301710MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://allscriptsstore.cloud.prod.iapps.com/fihr-apps Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322000011 AL Part B Supplier - Clinic/Group Practice 8729979729 Receives reassigned benefits from 5 practitioners
Practice locations: Huntsville, 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
01D2018822The Clinic for Neurology PA185 Chateau Drive Suite 301, Huntsville, AL 35801Certificate of waiverJan 13, 2027

National Provider Directory

National Provider Directory

Locations

1490 Highway 72 E
Huntsville, AL 35811
Phone (256) 428-2615

1490 Highway 72 E
Ste 301
Huntsville, AL 35811

1104 Monroe St SW
Huntsville, AL 35801
Phone (256) 265-7000

Practitioners & affiliated clinicians

Practitioners 10

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1831264597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CHATEAU DR SW STE 301",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017413",
            "telephone_number": "256-533-4402",
            "fax_number": "256-551-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CHATEAU DR SW STE 301",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017413",
            "telephone_number": "256-533-4402",
            "fax_number": "256-551-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC FOR NEUROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "256-533-4402"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528301710",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://allscriptsstore.cloud.prod.iapps.com/fihr-apps",
            "affiliation": "N",
            "endpointDescription": "Approved applications Allscripts Applications Store",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "185 Chateau Dr SW Ste 301",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358017413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.