NPIMap

Organization Active NPI

Legacy Medical Care, LLC

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1033400254
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LEGACY MEDICAL CARE, LLC
Practice address
805 Madison St SE
Suite 2B
Huntsville, AL 35801-4419
Phone
(256) 533-8408
Fax
(256) 533-8409
NPI assigned
Apr 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Nicole D. Scruggs, MD
Title
Physician
Phone
(256) 533-8408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

805 Madison St SE
Suite 2B
Huntsville, AL 35801-4419

Mailing address

805 Madison St SE
Suite 2B
Huntsville, AL 35801-4419
Phone (256) 533-8408

National Provider Directory

National Provider Directory

Locations

805 Madison St SE
Ste 2B
Huntsville, AL 35801
Phone (256) 533-8408

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1033400254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 MADISON ST SE",
            "address_2": "SUITE 2B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014419",
            "telephone_number": "256-533-8408",
            "fax_number": "256-533-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 MADISON ST SE",
            "address_2": "SUITE 2B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014419",
            "telephone_number": "256-533-8408",
            "fax_number": "256-533-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "SCRUGGS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "256-533-8408",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.