Organization Active NPI

Gadsden Hma Physician Management Inc

  • Family Medicine Physician
  • Gadsden, AL
National Provider Identifier
1023120458
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GADSDEN HMA PHYSICIAN MANAGEMENT INC
Practice address
303 Bay St
Suite 301
Gadsden, AL 35901-5265
Phone
(256) 546-4793
Fax
(256) 546-4967
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Stanley D. McLemore
Title
Sr. Vice President
Phone
(239) 598-3131

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

303 Bay St
Suite 301
Gadsden, AL 35901-5265

Mailing address

303 Bay St
Suite 301
Gadsden, AL 35901-5265
Phone (256) 546-4793

Other identifiers 1

IdentifierTypeStateIssuer
529932809MedicaidAL

Other names 1

  • Primary Care Associates Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1050676Primary Care Associates / Torregosa303 Bay Street, Suite 203, Gadsden, AL 35901Certificate of waiverDec 27, 2027

National Provider Directory

National Provider Directory

Locations

1504 Rainbow Dr
#B
Gadsden, AL 35901
Phone (256) 543-9900

401 S 1st St
#A
Gadsden, AL 35901
Phone (256) 543-0353

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1023120458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BAY ST",
            "address_2": "SUITE 301",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015265",
            "telephone_number": "256-546-4793",
            "fax_number": "256-546-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BAY ST",
            "address_2": "SUITE 301",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015265",
            "telephone_number": "256-546-4793",
            "fax_number": "256-546-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADSDEN HMA PHYSICIAN MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "MCLEMORE",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "239-598-3131"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529932809",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.