Individual provider Active NPI

John Bryan Waits, M.D.

  • Family Medicine Physician
  • Centreville, AL
National Provider Identifier
1962422337
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25230 Issued in AL
Practice address
405 Belcher St
Centreville, AL 35042-2946
Phone
(205) 926-2992
Fax
(205) 316-7675
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cahaba Medical Care Foundation 100 clinicians

Practice addresses (Care Compare)

195 Hospital Dr
Centreville, AL 35042-2935
Phone (205) 926-2992

Hospital & facility affiliations

  • Bibb Medical Center Hospital, Centreville, AL, CCN 010058
  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092
  • Bibb Medical Center Nursing Home Nursing home, Centreville, AL, CCN 015215
  • Bibb Medical Center Nursing home, CCN 01U058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727000696 AL Practitioner - Family Practice 3375513500 Reassigns benefits to 3 organizations

All facility ownership & control disclosures 26

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cahaba Medical CareCentreville, AL, CCN 011807 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jul 1, 2012
Jul 1, 2012
Woodstock Family MedicineWoodstock, AL, CCN 011021 Federally qualified health center Corporate Officer Oct 5, 2010
Cahaba Medical CareMaplesville, AL, CCN 011024 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical CareBessemer, AL, CCN 011029 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical CareBirmingham, AL, CCN 011030 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical CareEnsley, AL, CCN 011034 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jan 1, 2012
Oct 1, 2012
Cahaba Medical Care Foundation-WbesWest Blocton, AL, CCN 011040 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical CareBrent, AL, CCN 011033 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical Care FoundationMarion, AL, CCN 011044 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical Care FoundationBirmingham, AL, CCN 011054 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical CareCentreville, AL, CCN 011055 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical Care FoundationFairfield, AL, CCN 011063 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical Care FoundationFairfield, AL, CCN 011061 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical Care FoundationFairfield, AL, CCN 011065 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical Care FoundationFairfield, AL, CCN 011062 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical Care FoundationBirmingham, AL, CCN 011064 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical Care FoundationBirmingham, AL, CCN 011079 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical Care FoundationWest Blocton, AL, CCN 011082 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical Care FoundationBrent, AL, CCN 011090 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical Care FoundationBirmingham, AL, CCN 011089 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical Care FoundationCamden, AL, CCN 011097 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical Care FoundationBirmingham, AL, CCN 011098 Federally qualified health center Corporate Director
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical Care FoundationAlabaster, AL, CCN 011100 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical Care FoundationFairfield, AL, CCN 011004 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012
Cahaba Medical Care FoundationBirmingham, AL, CCN 011110 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2023
Cahaba Medical Care - Fairfield High Preparatory SchoolFairfield, AL, CCN 011114 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2012
Oct 1, 2012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25230ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation CurrentSince Nov 20, 2012 Accepting new patients
The Bibb County Healthcare Authority Current Accepting new patients
The Bibb County Health Care Authority CurrentSince Oct 18, 2011 Accepting new patients
Correct Care, Inc. CurrentSince Jan 8, 2026 Accepting new patients
The Bibb County Healthcare Authority Current Accepting new patients
Cahaba Medical Care Foundation CurrentSince Oct 1, 2012 Accepting new patients
The Bibb County Healthcare Authority Past Accepting new patients
Cahaba Medical Care, PC PastSince Apr 12, 2004 Accepting new patients
Jane Phillips Nowata Hospital Inc Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients

Locations

1010 1st St N
Ste 350
Alabaster, AL 35007
Phone (205) 679-6326

975 9th Ave SW
Ste 310
Bessemer, AL 35022
Phone (205) 277-2358

801 Princeton Ave SW
Ste 505
Birmingham, AL 35211
Phone (205) 502-1300

1308 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 679-6325

200 Oslo Cir
Birmingham, AL 35211
Phone (205) 944-3944

1240 Cotton Ave SW
Birmingham, AL 35211

160 4th St
Brent, AL 35034
Phone (205) 928-6045

1984 Main St
Brent, AL 35034
Phone (205) 928-3492

321 Whiskey Run Rd
Camden, AL 36726
Phone (334) 682-4128

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

208 Pierson Ave
Centreville, AL 35042
Phone (205) 926-3230

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

1925 Avenue E
Ensley, AL 35218
Phone (205) 788-5164

301 61st St
Fairfield, AL 35064

1301 Highland Dr
Fairfield, AL 35064

7000 Grasselli Rd
Fairfield, AL 35064
Phone (205) 791-5048

715 Valley Rd
Fairfield, AL 35064
Phone (205) 791-5048

4614 Carnegie Ave
Fairfield, AL 35064
Phone (205) 785-1353

828 Cahaba River Dr
West Blocton, AL 35184

319 Magnolia St
West Blocton, AL 35184
Phone (205) 928-3365

28921 Highway 5
Woodstock, AL 35188
Phone (205) 938-9348

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Interoperability endpoints

  • Direct secure messaging: john.waits.3@13200.direct.athenahealth.com
  • Direct secure messaging: jbwaits@bibb.direct.csshealthtech.com
  • Direct secure messaging: john.waits.1@11347.direct.athenahealth.com
  • Direct secure messaging: john.waits.2@13200.direct.athenahealth.com

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25230 AL Primary

Addresses

Primary practice location

405 Belcher St
Centreville, AL 35042-2946

Mailing address

405 Belcher St
Centreville, AL 35042-2946
Phone (205) 926-2992

Other identifiers 2

IdentifierTypeStateIssuer
0515-20913OtherALBLUE CROSS
009957265MedicaidAL

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1962422337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BELCHER ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422946",
            "telephone_number": "205-926-2992",
            "fax_number": "205-316-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BELCHER ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422946",
            "telephone_number": "205-926-2992",
            "fax_number": "205-316-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITS",
        "first_name": "JOHN",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "25230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0515-20913",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009957265",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, AL

Sources for this page

Verify at the official NPI Registry.