Alabama Vein Specialists Group LLC
Organization Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Hoover, AL
NPI 1972994473 · NPPES record last updated Mar 12, 2019
Key facts
- NPI
- 1972994473
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- Legal business name
- ALABAMA VEIN SPECIALISTS GROUP LLC
- Practice address
- 4721 Chace Cir
Hoover, AL 35244-3700 - Phone
- (205) 823-0151
- Fax
- (205) 823-5218
- NPI assigned
- Feb 5, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Charles Austin Hunt II, MD
- Title
- Owner
- Phone
- (205) 823-0151
Practitioners 8
-
Charles Austin Hunt II, M.D.
-
Amber Deskins, CRNA
-
Katherine J Herbst, PA-C
-
Leah Byerly Smith, PA-C
-
Amena Raja Alkeswani, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2010812 | Alabama Vein Specialists Group | Certificate of waiver | Aug 4, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151116001431 | AL | Part B Supplier - Clinic/Group Practice | 9830410281 |
Receives reassigned benefits from 6 practitioners Practice locations: Hoover, AL; Anniston, AL; Tuscaloosa, AL |
National Provider Directory
Locations
401 Towncenter Blvd
#B
Tuscaloosa, AL 35406
Phone (205) 345-3881
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician |
208200000X | 27512 | AL | |
| Surgery Physician |
208600000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | Yes |
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
- Alabama Vein Center
Other providers in Hoover, AL
- Alabama Developmental and Behavioral Specialists
- Alabama Family Eye Care
- Alabama Game Changers
- Alabama Healthcare Development LLC
- Alabama Professional Counseling, LLC
- Alabama Weightloss Mind Body Health LLC
- Alacare Home Health Services, Inc.
- Amy Jarvis Albert
- Alexander Diagnostics LLC
- Allana M Alexander
All providers in Hoover, AL · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.