Organization Active NPI

Randall D. Ayers

  • Rheumatology Physician
  • Tuscaloosa, AL
National Provider Identifier
1902078892
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
RANDALL D. AYERS
Practice address
1718 Veterans Memorial Pkwy
Ste-C
Tuscaloosa, AL 35404-4708
Phone
(205) 562-8180
Fax
(205) 553-4575
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dede Shajan
Title
Medical Billing
Phone
(205) 562-8180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

1718 Veterans Memorial Pkwy
Ste-C
Tuscaloosa, AL 35404-4708

Mailing address

1718 Veterans Memorial Pkwy
Ste-C
Tuscaloosa, AL 35404-4708
Phone (205) 562-8180

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1902078892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 VETERANS MEMORIAL PKWY",
            "address_2": "STE-C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354044708",
            "telephone_number": "205-562-8180",
            "fax_number": "205-553-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 VETERANS MEMORIAL PKWY",
            "address_2": "STE-C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354044708",
            "telephone_number": "205-562-8180",
            "fax_number": "205-553-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL D. AYERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "SHAJAN",
        "authorized_official_first_name": "DEDE",
        "authorized_official_title_or_position": "MEDICAL BILLING",
        "authorized_official_telephone_number": "205-562-8180"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.