PICKENS COUNTY FAMILY PRACTICE CENTER INC (NPI# 1174675144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174675144 |
| Entity Type | Organization |
| Organization Name | PICKENS COUNTY FAMILY PRACTICE CENTER INC |
| Practice Address |
27340 Hwy 86 Gordo AL 35466-7340 |
| Mailing Address |
27340 Highway 86 Gordo AL 35466 |
| Practice Telephone | 2053647135 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-12-18 |
| Authorized Official Name | DR. JOHN BRANDON (PRESIDENT) |
| Authorized Official Telephone | 2053647135 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 8876 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000015657 | 05 |
| Street Address |
27340 HWY 86 |
| City | GORDO |
| State | AL |
| Zip Code | 35466-7340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467506469 | Pickens County Medical Center | Clinic/Center | 27340 Hwy 86, Gordo, AL 35466 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063988806 | Pickens County Primary Care, P.c | Family Medicine | 630 4th St Nw, Gordo, AL 35466 | 2018-10-19 |
| 1194989749 | Timothy Luke Hagler | Dentist | 27290 Hwy 86, Gordo, AL 35466 | 2008-07-14 |
| 1649339797 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 536 Hudson Drive, Gordo, AL 35466 | 2006-12-06 |
| 1114992070 | John E Brandon | Family Medicine | 27340 Highway 86, Gordo, AL 35466 | 2006-02-22 |
| 1598013187 | Encore Rehabilitation, Inc. | Clinic/Center | 219 Industrial Park St, Gordo, AL 35466-2068 | 2012-08-29 |
| 1386284495 | Ellynn Joann Rolett | Specialist/Technologist | 219 Industrial Park St, Gordo, AL 35466-2068 | 2020-01-07 |
| 1770974735 | Brooke Owens | Physical Therapist | 219 Industrial Park St, Gordo, AL 35466-2068 | 2015-02-12 |
| 1699777219 | Medrental Inc | Durable Medical Equipment & Medical Supplies | 25660 Highway 82, Gordo, AL 35466-2261 | 2005-08-12 |
| 1225249493 | Na'toyia Shanay Stewart | Dental Assistant | 327 11th St Se, Gordo, AL 35466-2413 | 2007-05-26 |
| 1669810891 | Mills Pills LLC - Gordo | Pharmacy | 515 Hudson Dr, Gordo, AL 35466-2432 | 2013-06-10 |
| Find all providers in zip 35466 | ||||
| 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 |
|---|---|---|---|---|
| 1063988806 | Pickens County Primary Care, P.c | Family Medicine | 630 4th St Nw, Gordo, AL 35466 | 2018-10-19 |
| 1851408801 | Rex Beach Perkins Jr. | Family Medicine | 845 County Road 57, Gordo, AL 35466-3886 | 2006-08-24 |
| 1114992070 | John E Brandon | Family Medicine | 27340 Highway 86, Gordo, AL 35466 | 2006-02-22 |
| 1982041463 | Mary Margaret Clapp | Family Medicine | 27340 Highway 86, Gordo, AL 35466-3578 | 2013-05-24 |
| 1508052168 | Earl Ray Stewart Jr. | Family Medicine | 27340 Highway 86, Gordo, AL 35466-3578 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1043810195 | Tempus Primary Care | Family Medicine | 4101 Balmoral Dr Sw Ste B, Huntsville, AL 35801-6535 | 2020-10-28 |
| 1497354617 | Southcoast Medical Services | Family Medicine | 34463 Us Highway 98 Ste G, Lillian, AL 36549-4049 | 2020-10-19 |
| 1154929131 | Jackson Tuley Cornelison | Family Medicine | 41 Eminence Way Ste A, Pell City, AL 35128-2338 | 2020-10-13 |
| 1740895200 | Escambia County Alabama Community Hospitals, Inc | Family Medicine | 609 E. Laurel Street, Atmore, AL 36502 | 2020-09-11 |
| 1336752088 | Christy Nicole Johnson | Family Medicine | 634 Drew Dr, Hollywood, AL 35752-6556 | 2020-08-24 |
| 1053920264 | Mms Life, LLC | Family Medicine | 401 Evergreen Ave, Brewton, AL 36426-2066 | 2020-07-24 |
| 1164040986 | Marshall Primary Care | Family Medicine | 7938 Al Highway 69 Ste 350, Guntersville, AL 35976-7135 | 2020-07-08 |
| 1750907507 | Agape Medicine, LLC | Family Medicine | 42598 State Highway 75, Snead, AL 35952-6566 | 2020-06-17 |
| 1750906921 | Doctors Making Home Visits 1st Inc | Family Medicine | 922 S Perry St, Montgomery, AL 36104-5022 | 2020-06-12 |
| Find all providers with the same taxonomy | ||||
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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.