NPIMap

Individual provider Active NPI

David H Arnold, M.D.

  • Family Medicine Physician
  • Geneva, AL
National Provider Identifier
1891794822
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9269 Issued in AL
Practice address
100 W Lake Professional Park Ste 3
Geneva, AL 36340-1200
Phone
(334) 684-2281
Fax
(334) 684-9659
NPI assigned
Jul 20, 2005
Last updated
Jun 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9269 AL Primary

Addresses

Primary practice location

100 W Lake Professional Park Ste 3
Geneva, AL 36340-1200

Mailing address

1414 Elba Hwy
Troy, AL 36079-6020
Phone (334) 670-6726

Other identifiers 1

IdentifierTypeStateIssuer
000010509MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060907000515 AL Practitioner - Family Practice 3375547284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 W Lake Professional Park
Suite 3
Geneva, AL 36340-1200
Phone (334) 684-8905

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9269ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alabama Rural Health Associates CurrentSince Aug 3, 2021 Accepting new patients
Southeast Alabama Rural Health Associates CurrentSince Aug 3, 2021 Accepting new patients
Southeast Alabama Rural Health Associates Current Accepting new patients
Southeast Alabama Rural Health Associates Past Accepting new patients
Geneva Emergency Room Doctors LLC Past Accepting new patients

Locations

100 W Lake Professional Park
Ste 3
Geneva, AL 36340
Phone (334) 684-8905

1412 Elba Hwy
Troy, AL 36079
Phone (334) 288-0814

1414 Elba Hwy
Troy, AL 36079
Phone (334) 670-6726

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01C0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Interoperability endpoints

  • Direct secure messaging: david.arnold@sarha.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFGBD

Ownership & related parties

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Wiregrass Medical CenterGeneva, AL, CCN 011309 Hospital Corporate Director (11.11%) Apr 13, 2015
Wiregrass Medical CenterGeneva, AL, CCN 01Z309 Hospital Corporate Director (11.11%) Apr 13, 2015
Wiregrass Rehabilitation Center & Nursing HomeGeneva, AL, CCN 015150 Skilled nursing facility Corporate Director (11.11%) Apr 13, 2015
Samson Rural Health ClinicSamson, AL, CCN 018502 Rural health clinic Corporate Director (11.11%) Apr 13, 2015

Owned or controlled facilities with NPI records 3

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1891794822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 ELBA HWY",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360796020",
            "telephone_number": "334-670-6726",
            "fax_number": "334-670-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W LAKE PROFESSIONAL PARK STE 3",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363401200",
            "telephone_number": "334-684-2281",
            "fax_number": "334-684-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "9269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000010509",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, AL

Sources for this page

Verify at the official NPI Registry.