Organization Active NPI

New Life Family Medicine

  • Family Medicine Physician
  • Albertville, AL
National Provider Identifier
1063188589
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEW LIFE FAMILY MEDICINE
Practice address
1011 Horton Road
Albertville, AL 35950-2527
Phone
(256) 677-1475
NPI assigned
Aug 17, 2021
Last updated
Sep 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Authorized official

Name
Francesa Cerimele
Title
Owner
Phone
(256) 677-1475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1011 Horton Road
Albertville, AL 35950-2527

Mailing address

1011 Horton Road
Albertville, AL 35950-2527
Phone (256) 677-1475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211028000558 AL Part B Supplier - Clinic/Group Practice 4880082692 Receives reassigned benefits from 1 practitioner
Practice locations: Albertville, AL

National Provider Directory

National Provider Directory

Locations

909 Horton Rd
Albertville, AL 35950

Practitioners & affiliated clinicians

Practitioners 2

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": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1063188589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 HORTON ROAD",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359502527",
            "telephone_number": "256-677-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 HORTON ROAD",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359502527",
            "telephone_number": "256-677-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "CERIMELE",
        "authorized_official_first_name": "FRANCESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-677-1475"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.