Pediatric Adolescent Medicine, Inc.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

14314 Issued in AL

Legal business name

PEDIATRIC ADOLESCENT MEDICINE, INC.

Practice address

1107 Voeglin Ave
Suite 202
Selma, AL 36703-4301

Phone

(334) 874-4843

Fax

(334) 874-9598

NPI assigned

Nov 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Ann Kendrick-RobinsonNPI 1073692232

Title

M.D.

Phone

(334) 874-4843

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FJACCA

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.

• Patricia Ann Kendrick-Robinson, M.D.

  • Pediatric Adolescent Medicine Physician
  • Selma, AL
  • NPI 1073692232
  NPD (past) Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902975899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 VOEGLIN AVE",
            "address_2": "SUITE 202",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367034301",
            "telephone_number": "334-874-4843",
            "fax_number": "334-874-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 VOEGLIN AVE",
            "address_2": "SUITE 202",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367034301",
            "telephone_number": "334-874-4843",
            "fax_number": "334-874-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ADOLESCENT MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENDRICK-ROBINSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "334-874-4843",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AL",
            "license": "14314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51500362",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Osborn, DMD
• Ourtown Family Care LLC
• Hayes Palacio
• Park Place Nursing and Rehabilitation Center, LLC
• Tacarla Shantese Pearson, CRNP
• Williams K Perkins, RPT
• Shaena Marie Peter, OTR/L
• Jamie Crear Pettway, NP
• Physicians Choice Dialysis of Selma, LLC
• Pilcher McBryde Drug Company

• Pediatric Adolescent Medicine Physician in Selma, AL
• Providers in Selma, AL by specialty
• Pediatric Adolescent Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.