DECATUR GENERAL HOSPITAL (NPI# 1720128598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720128598 |
| Entity Type | Organization |
| Organization Name | DECATUR GENERAL HOSPITAL |
| Other Organization Name | DECATUR PEDIATRICS |
| Practice Address |
1304 13th Ave Se Suite D Decatur AL 35601-4359 |
| Practice Telephone | 2563402560 |
| Practice Fax Number | 2563402563 |
| Mailing Telephone | 2563402560 |
| Mailing Fax Number | 2563402563 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-08-02 |
| Authorized Official Name | JAMES HAHN (CEO) |
| Authorized Official Telephone | 2563412000 |
| Is Organization Subpart | Y |
| Parent Organization Name | DECATUR GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | F885 | 01 |
| Other Name | Type Code |
|---|---|
| Decatur Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053608968 | Decatur General Hospital | Family Medicine | 1211 Highway 31 Nw, Hartselle, AL 35640-4420 | 2011-06-30 |
| 1972744084 | Decatur General Hospital | Obstetrics & Gynecology | 1107 14th Avenue Se, Suite 320, Decatur, AL 35601 | 2009-03-19 |
| 1255583324 | Decatur General Hospital | Obstetrics & Gynecology | 1202 13th Aveneue Se, Decatur, AL 35601 | 2008-10-21 |
| 1417209081 | Decatur General Hospital | Obstetrics & Gynecology | 1304 13th Ave Se, Suite C, Decatur, AL 35601-4359 | 2012-10-08 |
| 1164777066 | Decatur General Hospital | Clinic/Center | 1201 7th St Se, Decatur, AL 35601 | 2012-07-17 |
| 1780940494 | Decatur General Hospital | Pediatrics | 1215 7th St Se, Suite 230, Decatur, AL 35601-3337 | 2012-04-06 |
| 1356614077 | Decatur General Hospital | Internal Medicine | 1006 Hill St Sw, Hartselle, AL 35640-2802 | 2012-02-10 |
| 1649542127 | Decatur General Hospital | Internal Medicine | 1215 7th St Se, Suite 140, Decatur, AL 35601-3337 | 2012-01-31 |
| 1598041774 | Decatur General Hospital | Family Medicine | 1215 7th St Se, Suite 140, Decatur, AL 35601-3337 | 2011-11-01 |
| 1295023984 | Decatur General Hospital | Urology | 1107 14th Ave Se, Suite G200, Decatur, AL 35601-3309 | 2011-07-14 |
| Street Address |
1304 13TH AVE SE SUITE D |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-4359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043295181 | Gerry Francis Ellis | Obstetrics & Gynecology | 1304 13th Ave Se, Suite A, Decatur, AL 35601-4359 | 2005-12-13 |
| 1376064121 | Julia Brooke Bevis | Family Medicine | 1304 13th Ave Se, Decatur, AL 35601-4359 | 2017-07-02 |
| 1578961066 | Paul P Mccain | Health Educator | 1304 13th Ave Se, Decatur, AL 35601-4359 | 2014-12-15 |
| 1023423605 | Decatur Womens Healthcare | Obstetrics & Gynecology | 1304 13th Ave Se, Suite C, Decatur, AL 35601-4359 | 2014-06-23 |
| 1417209081 | Decatur General Hospital | Obstetrics & Gynecology | 1304 13th Ave Se, Suite C, Decatur, AL 35601-4359 | 2012-10-08 |
| 1427311331 | Johnna Langford | Nurse Practitioner | 1304 13th Ave Se, Decatur, AL 35601-4359 | 2012-06-18 |
| 1417213109 | Emerald Screws | Obstetrics & Gynecology | 1304 13th Ave Se, Decatur, AL 35601-4359 | 2012-04-06 |
| 1700185642 | Joel Alonzo Powell Jr. | General Practice | 1304 13th Ave Se, Ste A, Decatur, AL 35601-4359 | 2011-03-17 |
| 1699096875 | Troy Gerald New | Obstetrics & Gynecology | 1304 13th Ave Se, Decatur, AL 35601-4359 | 2010-06-22 |
| 1184857195 | Family Health Care Clinic, Inc. | Clinic/Center | 1304 13th Ave Se, Suite A, Decatur, AL 35601 | 2009-08-25 |
| Find all providers in the same location | ||||
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465162 | Emily Rhoades | Pediatrics | 637 E Snyder Dr, Decatur, IL 62526-4766 | 2019-09-10 |
| 1477013720 | Decatur Morgan Pediatrics | Pediatrics | 1215 7th St Se Ste 210, Decatur, AL 35601-3385 | 2019-03-22 |
| 1508363128 | Life Cycle Pediatrics, LLC | Pediatrics | 428 Winn Ct Ste 100a, Decatur, GA 30030-1726 | 2018-04-10 |
| 1063956902 | Anna Bowen | Pediatrics | 128 Fairview Ave, Decatur, GA 30030-2416 | 2016-12-12 |
| 1780057042 | William Walker | Pediatrics | 1561 Blackhall Ln Se, Decatur, AL 35601-6917 | 2015-11-09 |
| 1336542240 | Eva Harris | Pediatrics | 2613 Danforth Ln, Decatur, GA 30033-2214 | 2014-10-06 |
| 1750796967 | Sugantha Krishnan | Pediatrics | 1201 7th St Se Ste 210, Decatur, AL 35601-3337 | 2014-06-25 |
| 1093158370 | Ruth Wessen Stefanos | Pediatrics | 609 Medical Center Dr # 2218, Decatur, TX 76234-3836 | 2013-04-17 |
| 1265772917 | William Jennings Branan Jr. | Pediatrics | 2592 River Oak Drive, Decatur, GA 30033 | 2013-02-18 |
| 1245576115 | Sharmila Shetty | Pediatrics | 446 Woodhaven Dr, Decatur, GA 30030-1650 | 2012-12-21 |
| 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.