NPIMap

Organization Active NPI

Community Hospital Inc

Doing business as Community Medical Arts Center

  • Family Medicine Physician
  • Tallassee, AL
National Provider Identifier
1982941381
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY HOSPITAL INC
Doing business as
Community Medical Arts Center
Practice address
875 Friendship Rd
Tallassee, AL 36078-1234
Phone
(334) 283-3111
NPI assigned
Jan 7, 2013
Last updated
Aug 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Lee S Greer
Title
Cfo
Phone
(334) 283-3754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

875 Friendship Rd
Tallassee, AL 36078-1234

Mailing address

875 Friendship Rd
Tallassee, AL 36078-1234
Phone (334) 283-3111

Other names 1

  • COMMUNITY MEDICAL ARTS CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040421001819 AL Part B Supplier - Clinic/Group Practice 2062408487 Receives reassigned benefits from 82 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Notasulga, AL; Tuskegee, AL; Tallassee, AL
O20191114000596 AL Part A Provider - Rural Health Clinic 2062408487 Practice locations: Tallassee, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982941381. Details of each certification follow.

Rural health clinic certification: CCN 013497

Legal name
COMMUNITY HOSPITAL INC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 18, 2021
Last certification
Mar 18, 2021
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Sep 24, 1927 in AL
Enrollment address
875 Friendship Rd
Tallassee, AL 36078-1255
Related CCNs
010034

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Community Hospital13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

875 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-3111

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lee Greer Individual Corporate OfficerCfo Oct 1, 2019
W-2 Managing EmployeeCfo Oct 1, 2019
Operational/Managerial ControlCfo Oct 1, 2019

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Community Home HealthTallassee, AL, CCN 017135 Home health agency 5% Or Greater Direct Ownership Interest (20%) Sep 20, 2019
Community Hospice CareTallassee, AL, CCN 011583 Hospice 5% Or Greater Direct Ownership Interest (75%)
Operational/Managerial Control (75%)		 Jul 1, 2023
Jul 1, 2023

Owned or controlled facilities with NPI records 2

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

  • C & P Home Health, LLC

    dba Community Home Health

    • Home Health Agency
    • Tallassee, AL
    • NPI 1952958019

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • C & P Hospice, LLC

    dba Community Hospice Care

    • Community Based Hospice Care Agency
    • Tallassee, AL
    • NPI 1487714218

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1982941381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 FRIENDSHIP RD",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781234",
            "telephone_number": "334-283-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 FRIENDSHIP RD",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781234",
            "telephone_number": "334-283-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "334-283-3754"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY MEDICAL ARTS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallassee, AL

Sources for this page

Verify at the official NPI Registry.