Organization Active NPI

Auburn Internal Medicine P.C.

  • Internal Medicine Physician
  • Auburn, AL
National Provider Identifier
1952597411
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AL21920 Issued in AL
Legal business name
AUBURN INTERNAL MEDICINE P.C.
Practice address
1548 Professional Pkwy
Auburn, AL 36830-2857
Phone
(334) 826-2901
Fax
(334) 826-1740
NPI assigned
Sep 19, 2007
Last updated
Oct 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Mrs. Elizabeth Smith
Title
Office Manager
Phone
(334) 826-2901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AL21920 AL Primary

Addresses

Primary practice location

1548 Professional Pkwy
Auburn, AL 36830-2857

Mailing address

1548 Professional Pkwy
Auburn, AL 36830-2857
Phone (334) 826-2901

Other identifiers 1

IdentifierTypeStateIssuer
I121OtherALGROUP MEDICARE ID NUMBER

Other names 1

  • Charles E. Thomas MD PC. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051102001187 AL Part B Supplier - Clinic/Group Practice 7315965985 Receives reassigned benefits from 3 practitioners
Practice locations: Auburn, 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
01D0709772Auburn Internal Medicine PC1548 Professional Parkway, Auburn, AL 36830Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3385/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1952597411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 PROFESSIONAL PKWY",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302857",
            "telephone_number": "334-826-2901",
            "fax_number": "334-826-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 PROFESSIONAL PKWY",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302857",
            "telephone_number": "334-826-2901",
            "fax_number": "334-826-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN INTERNAL MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-826-2901",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "AL21920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE ID NUMBER",
            "identifier": "I121",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles E. Thomas MD PC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Charles E. Thomas MD PC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.