NPIMap

Organization Active NPI

Winfield Internal Medicine, PC

  • Internal Medicine Physician
  • Winfield, AL
National Provider Identifier
1861667073
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WINFIELD INTERNAL MEDICINE, PC
Practice address
644 Tahoe Rd
Winfield, AL 35594-5028
Phone
(205) 487-4224
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Nancy Taylor
Title
Administrator
Phone
(205) 487-4224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X AL Primary

Addresses

Primary practice location

644 Tahoe Rd
Winfield, AL 35594-5028

Mailing address

644 Tahoe Rd
Winfield, AL 35594-5028
Phone (205) 487-4224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080610000674 AL Part B Supplier - Clinic/Group Practice 6103996681 Receives reassigned benefits from 6 practitioners
Practice locations: Winfield, AL

National Provider Directory

National Provider Directory

Locations

644 Tahoe Rd
Winfield, AL 35594
Phone (205) 487-4224

Practitioners & affiliated clinicians

Practitioners 8

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": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1861667073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 TAHOE RD",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945028",
            "telephone_number": "205-487-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 TAHOE RD",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945028",
            "telephone_number": "205-487-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINFIELD INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-487-4224"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.