Demetria Pettaway

ActiveIndividual ProviderSpecialty not listed
NPI issued: July 14, 2016

Quick Facts

NPI Number
1750734752
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy246QM0706X — Specialty not listed
Phone
(251) 295-5110
StateAL

NPI Validation Status: Verified

Valid 10-digit NPI number (1750734752)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 14, 2016)
Data source: CMS NPPES

Provider Overview

DEMETRIA PETTAWAY is a Healthcare provider based in Mobile, AL who has been registered with CMS since 2016. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1750734752
Provider TypeIndividual Provider
GenderFemale
StatusActive
Enumeration DateJuly 14, 2016

Practice Location

CityMobile
StateAL
ZIP Code36607-2303
Phone(251) 295-5110

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code246QM0706X
License StateAL

Mailing Address

CityMobile
StateAL
ZIP Code36607-2303
Phone(251) 295-5110
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1750734752 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1750734752for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1750734752 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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763
Specialty not listed Providers in the US

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People Also Ask

What is Demetria Pettaway's NPI number?
Demetria Pettaway's NPI number is 1750734752, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Demetria Pettaway's NPI currently active?
Yes, Demetria Pettaway's NPI status is Active as of the latest CMS NPPES database updates.
What does Demetria Pettaway specialize in?
Demetria Pettaway specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 246QM0706X.
Where does Demetria Pettaway practice?
Demetria Pettaway practices in Mobile, AL 36607-2303.
When was Demetria Pettaway's NPI issued?
Demetria Pettaway's NPI was issued on July 14, 2016.
What is Demetria Pettaway's provider type?
Demetria Pettaway is registered as an Individual Provider under CMS NPI Type 1.