NPIMap

Organization Active NPI

Lanier Pediatrics

  • Pediatrics Physician
  • Valley, AL
National Provider Identifier
1972870848
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.30505 Issued in AL
Legal business name
LANIER PEDIATRICS
Practice address
4900 20TH Ave
Valley, AL 36854-3549
Phone
(334) 756-5137
NPI assigned
Nov 21, 2011
Organization subpart
Yes
Parent organization
CHATTAHOOCHEE VALLEY HOSPITAL SOCIETYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Doug Dewberry
Title
Ceo
Phone
(334) 756-1428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MD.30505 AL Primary

Addresses

Primary practice location

4900 20TH Ave
Valley, AL 36854-3549

Mailing address

4900 20TH Ave
Valley, AL 36854-3549
Phone (334) 756-5137

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.

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1972870848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 20TH AVE",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368543549",
            "telephone_number": "334-756-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 20TH AVE",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368543549",
            "telephone_number": "334-756-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANIER PEDIATRICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "DEWBERRY",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-756-1428"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.30505",
            "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 Nov 21, 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.