INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY PC
NPI 1720106859
Specialist in Montgomery, AL

Q: What is Internal Medicine Associates Of Montgomery PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since March 27, 2007CLIA 01D0304366 · Waiver

6940 WINTON BLOUNT BLVD, MONTGOMERY, AL 36117(334) 279-9211(334) 279-9925 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Internal Medicine Associates Of Montgomery Pc NPPES

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

INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY PC (NPI 1720106859) is a healthcare organization registered as a specialist in Montgomery, Alabama and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 7, 2028 and lists Candace Bridges, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1720106859

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameINTERNAL MEDICINE ASSOCIATES OF MONTGOMERY PC

Location Address6940 WINTON BLOUNT BLVDMontgomery, AL 36117-3556

Mailing Address6940 Winton Blount BlvdMontgomery, AL 36117-3556 · (334) 279-9211 · Fax (334) 279-9925

Phone(334) 279-9211

Fax(334) 279-9925

Organization SubpartNo

Authorized OfficialCandace BridgesOffice Manager · (334) 279-9211

Enumeration DateMarch 27, 2007

Last NPPES UpdateJanuary 9, 2017

✔ NPI 1720106859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6940 WINTON BLOUNT BLVD, Montgomery, AL 36117

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Other Identifiers 3

Medicaid528600110AL

Medicare PINJ366AL

OtherCK4854AL · Railroad Medicare

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D0304366

Internal Medicine Associates · Montgomery, AL

Active · expires Apr 7, 2028

CLIA Number01D0304366

Laboratory TypePhysician Office

Certificate Effective DateApril 8, 2026

Certificate Expiration DateApril 7, 2028

Laboratory DirectorWilliam Jonathon Dailey MD

Laboratory Phone(334) 279-9211

Laboratory LocationInternal Medicine Associates6940 Winton Blount Blvd, Montgomery, AL 36117

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

KAITLYN WELLS CRNP

Nurse Practitioner (Family)