Provider Demographics
NPI:1083765549
Name:NORTH ALABAMA MEDICAL ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:NORTH ALABAMA MEDICAL ASSOCIATES, P.C.
Other - Org Name:JAMES R. MATTER, M.D., P.C.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:MATTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-739-4144
Mailing Address - Street 1:117 2ND AVE SE
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-3511
Mailing Address - Country:US
Mailing Address - Phone:256-739-4144
Mailing Address - Fax:256-739-4595
Practice Address - Street 1:117 2ND AVE SE
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-3511
Practice Address - Country:US
Practice Address - Phone:256-739-4144
Practice Address - Fax:256-739-4595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-076934207Q00000X
AL18242207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529905550Medicaid
AL510-33820OtherBCBS
F92213Medicare UPIN
ALG749Medicare ID - Type Unspecified