NPIMap

Organization Active NPI

Urology Associates of East Alabama LLC

  • Urology Physician
  • Opelika, AL
National Provider Identifier
1831717867
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY ASSOCIATES OF EAST ALABAMA LLC
Practice address
121 N 20TH St Ste 19
Opelika, AL 36801-5456
Phone
(334) 749-8146
Fax
(334) 749-8155
NPI assigned
Jul 7, 2020
Organization subpart
Yes
Parent organization
EAST ALABAMA MEDICAL DEVELOPMENT ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Samuel A Price Jr.
Title
Cfo
Phone
(334) 528-1310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

121 N 20TH St Ste 19
Opelika, AL 36801-5456

Mailing address

121 N 20TH St Ste 19
Opelika, AL 36801-5456
Phone (334) 749-8146

Other names 1

  • Urology Associates of East Alabama Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200807001045 AL Part B Supplier - Clinic/Group Practice 1052736014 Receives reassigned benefits from 6 practitioners
Practice locations: Auburn, AL; Opelika, AL

National Provider Directory

National Provider Directory
Part of
Urology Associates

Locations

121 N 20th St
Ste 19
Opelika, AL 36801
Phone (334) 749-8146

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

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": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1831717867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N 20TH ST STE 19",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015456",
            "telephone_number": "334-749-8146",
            "fax_number": "334-749-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N 20TH ST STE 19",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015456",
            "telephone_number": "334-749-8146",
            "fax_number": "334-749-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF EAST ALABAMA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST ALABAMA MEDICAL DEVELOPMENT ASSOCIATES",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "334-528-1310",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology Associates of East Alabama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.