Active NPI
Huntsville Hospital Madison Internal Medicine
- Internal Medicine Physician
- Madison, AL
National Provider Identifier
1992914238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.