Active NPI
Judith Ann Ingram, M.D.
- General Practice Physician
- Tuskegee, AL
National Provider Identifier
1932290772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 046686
- Practice address
- 2400 Hospital Rd
Tuskegee, AL 36083-5001 - Phone
- (334) 727-0550
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 046686 | GA | Primary |
Addresses
Primary practice location
2400 Hospital Rd
Tuskegee, AL 36083-5001
Mailing address
1161 Malvern Hunt CT
Lawrenceville, GA 30043-6301
Phone (770) 995-9907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046686 | GA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932290772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1161 MALVERN HUNT CT",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300436301",
"telephone_number": "770-995-9907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 HOSPITAL RD",
"city": "TUSKEGEE",
"state": "AL",
"postal_code": "360835001",
"telephone_number": "334-727-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "JUDITH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "046686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuskegee, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.