Healthcare Provider Details

I. General information

NPI: 1003974551
Provider Name (Legal Business Name): GERALD ANTHONY SWEENEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 7TH ST S
CLANTON AL
35045-3724
US

IV. Provider business mailing address

500 HOSPITAL DR
WETUMPKA AL
36092-1625
US

V. Phone/Fax

Practice location:
  • Phone: 205-280-0620
  • Fax:
Mailing address:
  • Phone: 334-567-4311
  • Fax: 334-567-4312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number13435
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number13435
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number13435
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: