NPIMap

Organization Active NPI

North Alabama OB-GYN Associates, P.a.

  • Obstetrics & Gynecology Physician
  • Madison, AL
National Provider Identifier
1912966847
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
14183 Issued in AL
Legal business name
NORTH ALABAMA OB-GYN ASSOCIATES, P.A.
Practice address
1041 Balch Rd Ste 250
Madison, AL 35758-8822
Phone
(256) 704-2229
Fax
(256) 704-2235
NPI assigned
Mar 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Bethel Renfrow, NPNPI 1649742560
Title
Office Administrator/NP
Phone
(912) 674-4657

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 14183 AL Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X AL
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X

Addresses

Primary practice location

1041 Balch Rd Ste 250
Madison, AL 35758-8822

Mailing address

1041 Balch Rd Ste 250
Madison, AL 35758-8822
Phone (256) 704-2229

Other identifiers 2

IdentifierTypeStateIssuer
529100940MedicaidAL
000087211MedicaidAL

Other names 2

  • OB-GYN Associates Doing business as
  • Decatur OB-GYN Associates, PA Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040527000340 AL Part B Supplier - Clinic/Group Practice 5597746370 Receives reassigned benefits from 11 practitioners
Practice locations: Madison, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2002395OB/GYN Associates1041 Balch Road Suite 250, Madison, AL 35758Provider-performed microscopyJan 13, 2028

National Provider Directory

National Provider Directory

Locations

1874 Beltline Rd SW
#105
Decatur, AL 35601

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1912966847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 BALCH RD STE 250",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588822",
            "telephone_number": "256-704-2229",
            "fax_number": "256-704-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 BALCH RD STE 250",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588822",
            "telephone_number": "256-704-2229",
            "fax_number": "256-704-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ALABAMA OB-GYN ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "RENFROW",
        "authorized_official_first_name": "BETHEL",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR/NP",
        "authorized_official_telephone_number": "912-674-4657",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "14183",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529100940",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000087211",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OB-GYN Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Decatur OB-GYN Associates, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.