Cahaba Medical Care Foundation

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CAHABA MEDICAL CARE FOUNDATION

Doing business as

CMC Pharmacy

Practice address

1308 Tuscaloosa Ave SW
Birmingham, AL 35211-1948

Phone

(205) 679-6325

NPI assigned

Mar 13, 2019

Last updated

Sep 6, 2019By 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

John B Waits, MDNPI 1962422337

Title

Ceo

Phone

(205) 926-2992

Specialties & licenses 1

Addresses

Other names 1

• CMC Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Cahaba Medical Care Foundation

  • Federally Qualified Health Center (FQHC)
  • Centreville, AL
  • NPI 1316201809

  1355597923

  Same PAC ID
• Cahaba Medical Care Foundation

  dba CMC Pharmacy Centreville

  • Federally Qualified Health Center (FQHC)
  • Centreville, AL
  • NPI 1316542624

  1355597923

  Same PAC ID

Tax ID family

CMC Pharmacy - Centreville8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

• Cahaba Medical Care Foundation

  dba CMC Pharmacy - Centreville

  • Federally Qualified Health Center (FQHC)
  • Centreville, AL
  • NPI 1104510486
  NPD tax ID
• Cahaba Medical Care Foundation

  dba Cahaba Medical Care

  • Federally Qualified Health Center (FQHC)
  • Centreville, AL
  • NPI 1316289515
  NPD tax ID
• Cahaba Medical Care Foundation

  • Federally Qualified Health Center (FQHC)
  • Centreville, AL
  • NPI 1316498041
  NPD tax ID
• Cahaba Medical Care Foundation

  dba CMC Pharmacy Centreville

  • Federally Qualified Health Center (FQHC)
  • Centreville, AL
  • NPI 1316542624
  NPD tax ID
• Cahaba Medical Care Foundation

  • Federally Qualified Health Center (FQHC)
  • Birmingham, AL
  • NPI 1427514199
  NPD tax ID
• Cahaba Medical Care Foundation

  dba Cahaba Medical Care West End Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1437710183
  NPD tax ID
• Cahaba Medical Care Foundation

  • Primary Care Clinic/Center
  • Bessemer, AL
  • NPI 1891165437
  NPD tax ID

All facility ownership & control disclosures 16

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Cahaba Medical Care Foundation

  • Federally Qualified Health Center (FQHC)
  • Centreville, AL
  • NPI 1316201809

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

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.

• John Bryan Waits, M.D.

  • Family Medicine Physician
  • Centreville, AL
  • NPI 1962422337
  Authorized official Same address or phone

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1881153401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BELCHER ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422946",
            "telephone_number": "205-926-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 TUSCALOOSA AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111948",
            "telephone_number": "205-679-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAHABA MEDICAL CARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "WAITS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-926-2992",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Carnell Cagle, PA-C
• Sarah Catherine Cagle, MD
• Cahaba Marriage and Family Counseling, LLC
• Cahaba Medical Care Foundation
• Cahaba Medical Care Foundation (Cahaba Medical Care West End Specialty Clinic)
• Cahaba Orthopedics LLC
• Cahaba Podiatry, Inc. (Pell City Podiatry)
• Cahaba Valley Counseling LLC
• Cahaba Valley Fire and Emergency Medical District
• Cahaba Valley Pediatric Dentistry PC (Cahaba Valley Pediatric Dentistry)

• Federally Qualified Health Center (FQHC) in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Federally Qualified Health Center (FQHC) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.