Organization Active NPI

East Alabama Occupational Medicine

  • Occupational Medicine Physician
  • Auburn, AL
National Provider Identifier
1891236964
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
EAST ALABAMA OCCUPATIONAL MEDICINE
Practice address
2515 E Glenn Ave
Suite 106
Auburn, AL 36830-6453
Phone
(334) 821-7787
Fax
(334) 821-7555
NPI assigned
Mar 9, 2017
Last updated
Mar 9, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST ALABAMA MEDICAL DEVELOPMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X NU Primary

Addresses

Primary practice location

2515 E Glenn Ave
Suite 106
Auburn, AL 36830-6453

Mailing address

2515 E Glenn Ave
Suite 106
Auburn, AL 36830-6453
Phone (334) 821-7787

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
01D1052045Alabama Occupational Medicine2515 E Glenn Avenue Suite 106, Auburn, AL 36830Certificate of waiverMar 15, 2028

National Provider Directory

National Provider Directory
Part of
Smiths Station Medical

Locations

2515 E Glenn Ave
Ste 106
Auburn, AL 36830
Phone (334) 821-7787

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1891236964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 E GLENN AVE",
            "address_2": "SUITE 106",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306453",
            "telephone_number": "334-821-7787",
            "fax_number": "334-821-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 E GLENN AVE",
            "address_2": "SUITE 106",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306453",
            "telephone_number": "334-821-7787",
            "fax_number": "334-821-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ALABAMA OCCUPATIONAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST ALABAMA MEDICAL DEVELOPMENT",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "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_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.