Hazel Green Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

HAZEL GREEN PEDIATRICS

Practice address

13596 Highway 231 431 N Ste 2
Hazel Green, AL 35750-8618

Phone

(256) 428-4950

Fax

(256) 828-0526

NPI assigned

Jan 8, 2007

Organization subpart

No

Name

Kelli S Powers

Title

Cfo

Phone

(256) 265-8818

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 26, 2020.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1902954597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2705",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358042705",
            "telephone_number": "256-801-6036",
            "fax_number": "256-801-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13596 HIGHWAY 231 431 N STE 2",
            "city": "HAZEL GREEN",
            "state": "AL",
            "postal_code": "357508618",
            "telephone_number": "256-428-4950",
            "fax_number": "256-828-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL GREEN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-265-8818"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Harris, RN
• Hazel Green Chiropractic, Inc.
• Hazel Green Dental
• Hazel Green Eyes
• Hazel Green Family Practice
• Hazel Green Primary Care
• Gregory Matthew Headley, NP-C
• Healthcare and Beyond, LLC
• HH Physician Care Hazel Green
• Home Sweet Home Nal LLC

• All providers in Hazel Green, AL
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.