GENERAL AND VASCULAR SURGERY OF NORTHWEST ALABMA, INC.
NPI 1154639227
Surgery - Vascular Surgery in Russellville, AL

Active since September 22, 2010
15225 HIGHWAY 43 STE D, RUSSELLVILLE, AL 35653(256) 332-1500(256) 398-8888 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Aug 1, 2017 (2 updates tracked since 2017).

About General And Vascular Surgery Of Northwest Alabma, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENERAL AND VASCULAR SURGERY OF NORTHWEST ALABMA, INC. (NPI 1154639227) is a healthcare organization registered as a vascular surgery in Russellville, Alabama and active in the NPI registry since September 2010. The organization maintains a secondary practice location in Muscle Shoals and lists Jeffrey Manord, President, as its authorized official.

NPPES Registry Identity

NPI1154639227
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameGENERAL AND VASCULAR SURGERY OF NORTHWEST ALABMA, INC.
Location Address15225 HIGHWAY 43 STE DRussellville, AL 35653-1969
Mailing AddressPo Box 660Russellville, AL 35653-0616 · (256) 332-1500 · Fax (256) 398-8888
Fax(256) 398-8888
Organization SubpartNo
Authorized OfficialJeffrey ManordPresident · (256) 332-1500
Enumeration DateSeptember 22, 2010
Last NPPES UpdateMarch 29, 20222 updates tracked since enumeration
NPPES CertifiedMarch 29, 2022
NPI 1154639227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in AL · 23436
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
15225 HIGHWAY 43 STE D, Russellville, AL 35653

Secondary Practice Location 1

Location 1203 Avalon Ave Ste 120Muscle Shoals, AL 35661-2857 · Phone (256) 332-1500

Other Identifiers 2

Other511-17526Bcbs
Medicaid126776AL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Vascular Surgery)
15225 HIGHWAY 43 STE D
RUSSELLVILLE, AL 35653

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is General And Vascular Surgery Of Northwest Alabma, Inc.'s NPI number?

The NPI number for General And Vascular Surgery Of Northwest Alabma, Inc. is 1154639227. It was assigned to this organization in the NPPES registry on September 22, 2010.

Where is General And Vascular Surgery Of Northwest Alabma, Inc. located?

General And Vascular Surgery Of Northwest Alabma, Inc. is located at 15225 Highway 43 Ste D, Russellville, AL 35653. The listed phone number is (256) 332-1500.

What is General And Vascular Surgery Of Northwest Alabma, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

What insurance does General And Vascular Surgery Of Northwest Alabma, Inc. accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list General And Vascular Surgery Of Northwest Alabma, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for General And Vascular Surgery Of Northwest Alabma, Inc. was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.