Physician Services of Alabama LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PHYSICIAN SERVICES OF ALABAMA LLC

Practice address

1701 Pelham Rd S
Jacksonville, AL 36265-3369

Phone

(256) 835-8885

NPI assigned

Feb 10, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Charlie G Williams Jr., MD

Title

Managing Member

Phone

(256) 239-5830

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1942506852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 QUINTARD DR",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031840",
            "telephone_number": "256-835-8885",
            "fax_number": "256-835-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 PELHAM RD S",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653369",
            "telephone_number": "256-835-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN SERVICES OF ALABAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "256-239-5830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donnita Parker
• Reggie Ardale Parker Sr., LPC
• Morgan Brittany Pentecost, PHARMD
• Courtney S Peppers-Owen, BCBA
• Jacob Louis Phillips
• Physicians Choice Dialysis of Jacksonville, LLC
• Adam Pike, PHARM.D
• Michael Garrett Polascik, ATC
• Maranda L Posey, FNP-BC
• Gavyn Prat

• Specialist in Jacksonville, AL
• Providers in Jacksonville, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.