Organization Active NPI

Limestone Urology Associates

  • Urology Physician
  • Athens, AL
National Provider Identifier
1952739484
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
LIMESTONE UROLOGY ASSOCIATES
Practice address
101 Fitness Way Ste 2300
Athens, AL 35611-2480
Phone
(256) 262-2190
NPI assigned
Oct 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Sebrina B Holt
Title
Executive Director
Phone
(256) 216-9648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

101 Fitness Way Ste 2300
Athens, AL 35611-2480

Mailing address

101 Fitness Way Ste 2300
Athens, AL 35611-2480
Phone (256) 262-2170

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131118001224 AL Part B Supplier - Clinic/Group Practice 1658507868 Receives reassigned benefits from 5 practitioners
Practice locations: Athens, AL

National Provider Directory

National Provider Directory

Locations

101 Fitness Way
Ste 2300
Athens, AL 35611
Phone (256) 233-9273

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1952739484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FITNESS WAY STE 2300",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112480",
            "telephone_number": "256-262-2170",
            "fax_number": "256-216-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FITNESS WAY STE 2300",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112480",
            "telephone_number": "256-262-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMESTONE UROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "SEBRINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-216-9648"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.