Organization Active NPI

Huntsville Hospital Madison Internal Medicine

  • Internal Medicine Physician
  • Madison, AL
National Provider Identifier
1992914238
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HUNTSVILLE HOSPITAL MADISON INTERNAL MEDICINE
Practice address
450 Lanier Rd
Madison, AL 35758-1866
Phone
(256) 265-5970
Fax
(256) 265-5971
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Authorized official

Name
Clinton Carter
Title
Cfo
Phone
(256) 265-8818

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

450 Lanier Rd
Madison, AL 35758-1866

Mailing address

PO Box 21007
Huntsville, AL 35813-5007

Other practice location 1

8371 Highway 72 W Ste 104
Madison, AL 35758-9505
Phone (256) 265-5640

National Provider Directory

National Provider Directory

Locations

3810 Sullivan St
Ste B
Madison, AL 35758
Phone (256) 265-5970

8371 Highway 72 W
Ste 104
Madison, AL 35758
Phone (256) 265-5640

8371 Highway 72 W
Madison, AL 35758
Phone (256) 895-6869

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1992914238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21007",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358135007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LANIER RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581866",
            "telephone_number": "256-265-5970",
            "fax_number": "256-265-5971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8371 Highway 72 W Ste 104",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357589505",
            "country_code": "US",
            "telephone_number": "256-265-5640",
            "fax_number": "256-265-5647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HUNTSVILLE HOSPITAL MADISON INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-265-8818"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.