FAMILY MEDICINE OF TUSCALOOSA, LLC (NPI# 1104126739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104126739 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICINE OF TUSCALOOSA, LLC |
| Practice Address |
100 Towncenter Blvd Suite 300 Tuscaloosa AL 35406-1833 |
| Practice Telephone | 2054644971 |
| Practice Fax Number | 2053437425 |
| Mailing Telephone | 2054644971 |
| Mailing Fax Number | 2053437425 |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2012-03-07 |
| Authorized Official Name | SHANNON AMMAN (MANAGER) |
| Authorized Official Telephone | 2054644971 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 24343 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
100 TOWNCENTER BLVD SUITE 300 |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35406-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174507800 | Richard Edwin Jones IIi | Internal Medicine | 100 Towncenter Blvd, Ste 112, Tuscaloosa, AL 35406-1833 | 2005-12-06 |
| 1306396676 | Mitchell Ryan Cagle | Nurse Practitioner | 100 Towncenter Blvd, Tuscaloosa, AL 35406-1833 | 2016-10-10 |
| 1558772012 | Tuscaloosa Prosthetics & Orthotics | Prosthetic/Orthotic Supplier | 100 Towncenter Blvd, Suite 303, Tuscaloosa, AL 35406-1833 | 2014-05-17 |
| 1437433794 | Leigh Schmersahl Rose | Nurse Practitioner | 100 Towncenter Blvd, Suite 112, Tuscaloosa, AL 35406-1833 | 2011-10-05 |
| 1922393925 | Deeann Yvonne Kizziah | Nurse Practitioner | 100 Towncenter Blvd, Suite 112, Tuscaloosa, AL 35406-1833 | 2011-06-17 |
| 1932417136 | Leslie Earl Glenn | Family Medicine | 100 Towncenter Blvd, Suite 112, Tuscaloosa, AL 35406-1833 | 2010-09-22 |
| 1295061869 | Clary & Jones LLC | Clinic/Center | 100 Towncenter Blvd, Suite 202, Tuscaloosa, AL 35406-1833 | 2009-11-02 |
| 1720215049 | Ray Harvey Mclaughlin Jr. | Internal Medicine | 100 Towncenter Blvd, Suite 112, Tuscaloosa, AL 35406-1833 | 2009-06-12 |
| 1689819799 | Amy Leigh Atkins | Nurse Practitioner | 100 Towncenter Blvd, Suite 112, Tuscaloosa, AL 35406-1833 | 2008-12-04 |
| 1992869903 | Marcus Garvey Wilson | Internal Medicine | 100 Towncenter Blvd, Suite 112, Tuscaloosa, AL 35406-1833 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134757735 | Susan Tingle Mills | Counselor | 1470 Northbank Parkway, Tuscaloosa, AL 35406 | 2020-03-30 |
| 1508416314 | Carehere LLC | Family Medicine | Carehere Clinic-mercedes Tuscaloosa Health and Wellness, 971 Fairfax Park, Suite B, Tuskaloosa, AL 35406 | 2019-09-13 |
| 1093275364 | Medfusions | Nurse Anesthetist, Certified Registered | 120 Rice Mine Road N, Tuscaloosa, AL 35406 | 2019-03-22 |
| 1891144259 | Gregory Chad Green, Od, PC | Optometrist | 1490 Northbank Parkway, Suite 120, Tuscaloosa, AL 35406 | 2016-06-07 |
| 1164767083 | First Care LLC | Clinic/Center | 1251 Mcfarland Blvd. Ne, Tuscaloosa, AL 35406 | 2012-12-04 |
| 1144520487 | Ladonna Demetrice Snider | Registered Nurse | 825 Rice Mine Road No., Tuscaloosa, AL 35406 | 2010-11-02 |
| 1699923102 | Nancy M. Tactuk Romanenko | Internal Medicine | 1015 Rice Valley Rd N, Tuscaloosa, AL 35406 | 2008-09-09 |
| 1912042433 | Patrick Bruce Atkins | Psychiatry & Neurology | 1649 Mcfarland Boulevard North, Suite 201, Tuscaloosa, AL 35406 | 2007-02-21 |
| 1073663555 | Mark Linden Prohaska | Clinical Neuropsychologist | 100 Rice Mine Road, Suite 303, Tuscaloosa, AL 35406 | 2007-01-10 |
| 1225197155 | Jane Watkins Phd | Counselor | 150 Rice Mine Road, Suite B, Tuscalcosa, AL 35406 | 2006-12-06 |
| Find all providers in zip 35406 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528544475 | Tuscaloosa Primary Care, LLC | Family Medicine | 100 Towncenter Blvd Ste 300, Tuscaloosa, AL 35406-1835 | 2018-07-13 |
| 1851822100 | American Family Care, Inc. | Family Medicine | 710 15th Street East, Tuscaloosa, AL 35401-0000 | 2017-03-27 |
| 1700279577 | Hort Md, PC | Family Medicine | 2224 15th St, Tuscaloosa, AL 35401-4611 | 2015-03-18 |
| 1386056026 | Remona Peterson | Family Medicine | 6521 Highway 69 S Ste M, Tuscaloosa, AL 35405 | 2014-05-29 |
| 1881039048 | West Alabama Physician Associates LLC | Family Medicine | 1120 Ruby Tyler Pkwy, Tuscaloosa, AL 35404-2959 | 2013-05-01 |
| 1659541563 | James Peter Whitley | Family Medicine | 2731 Mlk Jr. Blvd, Tuscaloosa, AL 35401 | 2008-03-06 |
| 1356493514 | Bobby E. Hill, M.d., P.C. | Family Medicine | 1647 Mcfarland Blvd N, Suite #1-c, Tuscaloosa, AL 35406-2248 | 2007-01-17 |
| 1295801579 | Steve R Lovelady | Family Medicine | 1490 N Bank Pkwy, Suite 290, Tuscaloosa, AL 35406-2430 | 2006-11-28 |
| 1912093287 | Charles Craig Hudson | Family Medicine | 1708 Duval St, Tuscaloosa, AL 35406-2037 | 2006-10-05 |
| 1316047285 | Taylorville Family Medicine, PC | Family Medicine | 7700 Highway 69 S, Suite C, Tuscaloosa, AL 35405-8783 | 2006-09-22 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35406 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.