OrganizationActive
Clinic652 LLC
NPI 1508518002 · Internal Medicine Physician · Gadsden, AL
Provider details
- NPI number
- 1508518002
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Warren O'Meara-Dates, Member/Chief Executive Officer(256) 418-4005
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2600 E Meighan Blvd
Gadsden, AL 35903-1924
Phone: (256) 418-4005
Fax: (256) 399-0102
Street-level locationGet directions
Mailing address
417 Taylor St
Gadsden, AL 35903-2557
Registry dates
- Enumerated
- 2022-01-25
- Last updated
- 2022-01-25
- Certified
- 2022-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.