Andalusia Medical Center, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ANDALUSIA MEDICAL CENTER, LLC

Practice address

1800 US Hwy 84 West
Opp, AL 36467-3520

Phone

(334) 493-4357

Fax

(334) 222-3825

NPI assigned

Aug 24, 2011

Last updated

Dec 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Ray Diel, M.D.NPI 1316938079

Title

M.D./Owner

Phone

(334) 493-4357

Specialties & licenses 1

Addresses

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.

• Kevin Ray Diel, MD

  • General Practice Physician
  • Opp, AL
  • NPI 1316938079
  Authorized official Same address or phone

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1831479781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 US HWY 84 WEST",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364673520",
            "telephone_number": "334-493-4357",
            "fax_number": "334-222-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 US HWY 84 WEST",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364673520",
            "telephone_number": "334-493-4357",
            "fax_number": "334-222-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDALUSIA MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "DIEL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "334-493-4357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 11TH Hour Ministries (Rise Up Counseling)
• David Russell Adams, CRNP
• Lisa Adamson, CRNP
• Amanda Wells Lanier, D.M.D., P.C.
• James Devane Anderson, RRT
• George Lawrence Arnett, BA, BC-HIS
• Bhagwan D Bang, M.D.
• Nicholas Bass, AGPCNP-BC
• Ashley Jean Basso

• General Practice Physician in Opp, AL
• Providers in Opp, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.