NPIMap

Organization Active NPI

Complete Medical Health,LLC

Doing business as Advanced Medical Care

  • Family Medicine Physician
  • Killen, AL
National Provider Identifier
1053727446
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPLETE MEDICAL HEALTH,LLC
Doing business as
Advanced Medical Care
Practice address
6492 US Hwy 72
Killen, AL 35645-7740
Phone
(256) 757-0070
NPI assigned
Jul 7, 2014
Last updated
Jul 9, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
COMPLETE MEDICAL HEALTH,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Schara Davis
Title
Owner/Incorporator
Phone
(256) 262-9324

Specialties & licenses 1

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

Addresses

Primary practice location

6492 US Hwy 72
Killen, AL 35645-7740

Mailing address

707 W Market St
Suite a
Athens, AL 35611-2463
Phone (256) 262-9324

Other names 1

  • Advanced Medical Care Doing business as

National Provider Directory

National Provider Directory
Part of
Complete Medical Health LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1053727446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W MARKET ST",
            "address_2": "SUITE A",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112463",
            "telephone_number": "256-262-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6492 US HWY 72",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356457740",
            "telephone_number": "256-757-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE MEDICAL HEALTH,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPLETE MEDICAL HEALTH,LLC",
        "enumeration_date": "2014-07-07",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SCHARA",
        "authorized_official_title_or_position": "OWNER/INCORPORATOR",
        "authorized_official_telephone_number": "256-262-9324"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killen, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.