NPIMap

Organization Active NPI

Highlands Family Medicine, LLC

  • Family Medicine Physician
  • Scottsboro, AL
National Provider Identifier
1013273119
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HIGHLANDS FAMILY MEDICINE, LLC
Practice address
507 Harley St
Scottsboro, AL 35768-4218
Phone
(256) 218-3856
Fax
(256) 218-3536
NPI assigned
Apr 3, 2012
Last updated
Mar 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen Grider
Title
Director of Physician Services
Phone
(256) 218-3856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AL Primary

Addresses

Primary practice location

507 Harley St
Scottsboro, AL 35768-4218

Mailing address

PO Box 1050
Scottsboro, AL 35768-1050
Phone (256) 259-0061

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1013273119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1050",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357681050",
            "telephone_number": "256-259-0061",
            "fax_number": "256-259-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 HARLEY ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684218",
            "telephone_number": "256-218-3856",
            "fax_number": "256-218-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "GRIDER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "256-218-3856"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.