NEPHROLOGY OF NORTH ALABAMA P.C. (NPI# 1417981622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417981622 |
Entity Type | Organization |
Organization Name | NEPHROLOGY OF NORTH ALABAMA P.C. |
Practice Address |
1216 Somerville Road Se Decatur AL 35601-3337 |
Mailing Address |
1216 Somerville Rd Se Decatur AL 35601-4335 |
Practice Telephone | 2563400012 |
Practice Fax Number | 2563401408 |
Mailing Telephone | 2563400012 |
Mailing Fax Number | 2563401408 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2009-12-15 |
Authorized Official Name | DR. JAMES DANIEL GIFFORD (OWNER) |
Authorized Official Telephone | 2563400012 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | RAILROAD MEDICARE | CK3006 | 01 |
Street Address |
1216 SOMERVILLE ROAD SE |
City | DECATUR |
State | AL |
Zip Code | 35601-3337 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831167287 | Reginald Dwain Gladish | Internal Medicine | 1216 Somerville Road Se, Decatur, AL 35601 | 2006-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
Find all providers in zip 35601 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144301243 | Home Dialysis of North Alabama Inc. | Internal Medicine | 1216 Somerville Rd Se, Decatur, AL 35601-4335 | 2006-10-17 |
1063422723 | Georgia Nephrology, LLC | Internal Medicine | 497 Winn Way Ste A210, Decatur, GA 30030 | 2006-08-08 |
1831167287 | Reginald Dwain Gladish | Internal Medicine | 1216 Somerville Road Se, Decatur, AL 35601 | 2006-03-10 |
1427042985 | Muhammad Mustansar Qureshi | Internal Medicine | 441 W Hay St, 2nd Floor, Decatur, IL 62526-6324 | 2005-09-09 |
1841296514 | Andrew Alexander Dixon | Internal Medicine | 5255 Snapfinger Park Dr, Ste 110, Decatur, GA 30035-4066 | 2005-06-27 |
1588808067 | Aliya Saeed | Internal Medicine | 5255 Snapfinger Park Dr, Suite 110, Decatur, GA 30035-4084 | 2009-04-28 |
1528224375 | Faryal Niazi | Internal Medicine | 609 Medical Center Dr, Suite 2700, Decatur, TX 76234-3836 | 2008-07-31 |
1225050057 | Arun Kumar | Internal Medicine | 5255 Snapfinger Park Dr, 110, Decatur, GA 30035-4084 | 2006-07-24 |
1447283387 | Lynn Ellen Schlanger | Internal Medicine | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-07-07 |
1427009075 | Aamir Zuberi Md Pa | Internal Medicine | 609 Medical Center Dr, Suite 2700, Decatur, TX 76234-3800 | 2006-05-16 |
Find all providers in DECATUR |
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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.