NPIMap

Organization Active NPI

Cardiology Associates, PA

  • Cardiovascular Disease Physician
  • Dothan, AL
National Provider Identifier
1922088798
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOLOGY ASSOCIATES, PA
Practice address
4300 W Main St
Suite 102
Dothan, AL 36305-1054
Phone
(334) 793-9564
Fax
(334) 671-8907
NPI assigned
Jan 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Melissa W Reeves
Title
Administrator
Phone
(334) 793-9564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

4300 W Main St
Suite 102
Dothan, AL 36305-1054

Mailing address

4300 W Main St
Suite 102
Dothan, AL 36305-1054
Phone (334) 793-9564

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050509000204 AL Part B Supplier - Clinic/Group Practice 1153361225 Receives reassigned benefits from 19 practitioners
Practice locations: Dothan, AL

National Provider Directory

National Provider Directory

Locations

1118 Ross Clark Cir
Ste 501
Dothan, AL 36301
Phone (334) 793-9564

Interoperability endpoints

  • Direct secure messaging: maganparker@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: kristengoodson@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: tommyrushing@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: brookesellers@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: sylviarushing@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: parkspratt@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: christopherike@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: susanneroman@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: srolandbrooks@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: brittneyedge@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: ransfordbrenya@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: jamesbcraven@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: rogerwilliams@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: danieldeighton@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: imrankhalil@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: heatherparker@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: christopherbyard@dothanspcl.allscriptsdirect.net
  • Direct secure messaging: michaelpinson@dothanspcl.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1922088798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W MAIN ST",
            "address_2": "SUITE 102",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051054",
            "telephone_number": "334-793-9564",
            "fax_number": "334-671-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MAIN ST",
            "address_2": "SUITE 102",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051054",
            "telephone_number": "334-793-9564",
            "fax_number": "334-671-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-793-9564",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.