CAHABA MEDICAL CARE, PC (NPI# 1225117047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225117047 |
| Entity Type | Organization |
| Organization Name | CAHABA MEDICAL CARE, PC |
| Practice Address |
195 Hospital Dr Centreville AL 35042-2935 |
| Practice Telephone | 2059262992 |
| Practice Fax Number | 2059262993 |
| Mailing Telephone | 2059262992 |
| Mailing Fax Number | 2059262993 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN BRYAN WAITS (PRESIDENT) |
| Authorized Official Telephone | 2059262992 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
25230 | AL | Ambulatory Health Care Facilities |
| Street Address |
195 HOSPITAL DR |
| City | CENTREVILLE |
| State | AL |
| Zip Code | 35042-2935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316201809 | Cahaba Medical Care Foundation | Clinic/Center | 195 Hospital Dr, Centreville, AL 35042-2935 | 2012-06-28 |
| 1336416288 | Cahaba Medical Care of Al., LLC | Clinic/Center | 195 Hospital Dr, Centreville, AL 35042-2935 | 2011-11-21 |
| 1659565786 | Lindsey Giddiens | Nurse Practitioner | 195 Hospital Dr, Centreville, AL 35042-2935 | 2007-08-31 |
| 1437237260 | Teresa Law | Nurse Practitioner | 195 Hospital Dr, Centreville, AL 35042-2935 | 2006-11-01 |
| 1144305053 | Coty Darnell Wade | Registered Nurse | 195 Hospital Dr, Centreville, AL 35042-2935 | 2006-10-26 |
| 1245260322 | Martin Eugene Truett | Emergency Medicine | 195 Hospital Dr, Centreville, AL 35042-2935 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093058133 | Cahaba Medical Care Foundation | Clinic/Center | 294 Pierson Avenue, Centreville, AL 35042 | 2013-03-27 |
| 1548305139 | Melody Dawn Randolph | Pharmacist | 1130 Walnut Street, Centreville, AL 35042 | 2007-02-21 |
| 1023127867 | Phil Adams | Dentist | 260 Walnut St., Centreville, AL 35042 | 2006-08-29 |
| 1558855387 | Sajel Nuwamanya | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1912491838 | Paul Abraham | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1386138105 | Alexander Lea | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1831683747 | Whitney Hudman | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1639663453 | Julia Todd | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1891289716 | Mya Stayton | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1548754419 | Malia Swanson | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-14 |
| Find all providers in zip 35042 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710060330 | Fairfax Family Practice Centers, P.C. | Clinic/Center | 6201 Centreville Rd Ste 100, Centreville, VA 20121-2626 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316758 | Modern Health Family Care Practice | Clinic/Center | 13000 Cottonwood Rd, Cottonwood, AL 36320-4280 | 2020-05-01 |
| 1487274650 | Faith Medical Clinic LLC | Clinic/Center | 64 Mccurdy Ave N, Rainsville, AL 35986-4465 | 2020-04-17 |
| 1386283471 | E A Mccleskey, Do, LLC | Clinic/Center | 103 Intercom Dr Ste B, Madison, AL 35758-2641 | 2020-01-06 |
| 1568012755 | Watchman's Health PC | Clinic/Center | 1501 7th St Se Ste A, Decatur, AL 35601-3375 | 2019-09-19 |
| 1184273096 | Spedale Md PC | Clinic/Center | 3113 Wesley Way Ste 1, Dothan, AL 36305-2004 | 2019-09-04 |
| 1124675459 | Mainstreet Family Care LLC | Clinic/Center | 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866 | 2019-08-21 |
| 1568016004 | Fenton Chiropractic LLC | Clinic/Center | 301 1st St S, Reform, AL 35481-8013 | 2019-08-01 |
| 1568967081 | Bernice R Swain Do Pllc | Clinic/Center | 2424 Danville Rd Sw Ste L, Decatur, AL 35603-4219 | 2018-03-27 |
| 1578088001 | Coastal Health & Wellness | Clinic/Center | 14 Confederate Dr S, Spanish Fort, AL 36527-3062 | 2017-08-05 |
| 1760918494 | Killen Urgent Care, Inc. | Clinic/Center | 152 J C Mauldin Hwy, Killen, AL 35645-9106 | 2017-05-01 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 35042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.