NPIMap

Organization Active NPI

Lanier Internal Medicine

  • Internal Medicine Physician
  • Valley, AL
National Provider Identifier
1962706960
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD8463 Issued in AL
Legal business name
LANIER INTERNAL MEDICINE
Practice address
#2 - 48TH Street
Valley, AL 36854
Phone
(334) 756-2136
Fax
(334) 756-4184
NPI assigned
Jan 5, 2011
Organization subpart
Yes
Parent organization
CHATTAHOOCHIE VALLEY HOSPITAL SOCIETYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Mr. Doug Dewberry
Title
Ceo / Administrator
Phone
(334) 756-1428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD8463 AL Primary

Addresses

Primary practice location

#2 - 48TH Street
Valley, AL 36854

Mailing address

#2 - 48TH Street
Valley, AL 36854
Phone (334) 756-2136

National Provider Directory

National Provider Directory
Tax ID family
Miriam Valles MD7 organizations share this tax ID, including this one
Part of
Miriam Valles MD

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 48th St
Valley, AL 36854
Phone (334) 756-2136

Practitioners & affiliated clinicians

Practitioners 3

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": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1962706960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#2 - 48TH STREET",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "36854",
            "telephone_number": "334-756-2136",
            "fax_number": "334-756-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#2 - 48TH STREET",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "36854",
            "telephone_number": "334-756-2136",
            "fax_number": "334-756-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANIER INTERNAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHATTAHOOCHIE VALLEY HOSPITAL SOCIETY",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "DEWBERRY",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CEO / ADMINISTRATOR",
        "authorized_official_telephone_number": "334-756-1428",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD8463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley, AL

Sources for this page

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