Organization Active NPI

Cahaba Valley Surgical Group, PC

  • Surgery Physician
  • Alabaster, AL
National Provider Identifier
1902902398
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CAHABA VALLEY SURGICAL GROUP, PC
Practice address
644 2ND St NE
Suite 206
Alabaster, AL 35007-8823
Phone
(205) 620-9065
Fax
(205) 620-9051
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Authorized official

Name
Rex A Sherer, MDNPI 1285608588
Title
Partner/Owner
Phone
(205) 620-9065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

644 2ND St NE
Suite 206
Alabaster, AL 35007-8823

Mailing address

644 2ND St NE
Suite 206
Alabaster, AL 35007-8823
Phone (205) 620-9065

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040126000279 AL Part B Supplier - Clinic/Group Practice 2961304340 Receives reassigned benefits from 6 practitioners
Practice locations: Alabaster, AL

National Provider Directory

National Provider Directory

Locations

1004 1st St N
Ste 250
Alabaster, AL 35007
Phone (205) 620-9065

644 2nd St NE
Ste 206
Alabaster, AL 35007
Phone (205) 620-3329

Interoperability endpoints

  • Direct secure messaging: rexsherer@cvsgrppc.allscriptsdirect.net
  • Direct secure messaging: williambraswell@cvsgrppc.allscriptsdirect.net
  • Direct secure messaging: elizabethnewman@cvsgrppc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 6

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1902902398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 2ND ST NE",
            "address_2": "SUITE 206",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078823",
            "telephone_number": "205-620-9065",
            "fax_number": "205-620-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 2ND ST NE",
            "address_2": "SUITE 206",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078823",
            "telephone_number": "205-620-9065",
            "fax_number": "205-620-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAHABA VALLEY SURGICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "SHERER",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "205-620-9065",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.