NPIMap

Organization Active NPI

Alabama Vein Specialists Group LLC

Doing business as Alabama Vein Center

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Hoover, AL
National Provider Identifier
1972994473
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
ALABAMA VEIN SPECIALISTS GROUP LLC
Doing business as
Alabama Vein Center
Practice address
4721 Chace Cir
Hoover, AL 35244-3700
Phone
(205) 823-0151
Fax
(205) 823-5218
NPI assigned
Feb 5, 2015
Last updated
Mar 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Dr. Charles Austin Hunt II, MDNPI 1699784538
Title
Owner
Phone
(205) 823-0151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X 27512 AL
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

4721 Chace Cir
Hoover, AL 35244-3700

Mailing address

4721 Chace Cir
Hoover, AL 35244-3700
Phone (205) 823-0151

Other names 1

  • Alabama Vein Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151116001431 AL Part B Supplier - Clinic/Group Practice 9830410281 Receives reassigned benefits from 6 practitioners
Practice locations: Hoover, AL; Anniston, AL; Tuscaloosa, 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
01D2010812Alabama Vein Specialists Group4721 Chace Circle, Hoover, AL 35244Certificate of waiverAug 4, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1972994473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 CHACE CIR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443700",
            "telephone_number": "205-823-0151",
            "fax_number": "205-823-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 CHACE CIR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443700",
            "telephone_number": "205-823-0151",
            "fax_number": "205-823-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA VEIN SPECIALISTS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-823-0151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "AL",
            "license": "27512",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alabama Vein Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alabama Vein Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.