Organization Active NPI

Royse Family Medicine

  • Family Medicine Physician
  • Athens, AL
National Provider Identifier
1063771053
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00025382 Issued in AL
Legal business name
ROYSE FAMILY MEDICINE
Practice address
727 W Market St
Suite D
Athens, AL 35611-2456
Phone
(256) 233-5145
Fax
(256) 230-2615
NPI assigned
May 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
John C Royse, M.D.NPI 1376573162
Title
Owner
Phone
(256) 233-5145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 00025382 AL Primary

Addresses

Primary practice location

727 W Market St
Suite D
Athens, AL 35611-2456

Mailing address

727 W Market St
Suite D
Athens, AL 35611-2456
Phone (256) 233-5145

Other identifiers 1

IdentifierTypeStateIssuer
138775MedicaidAL

National Provider Directory

National Provider Directory

Locations

727 W Market St
Ste D
Athens, AL 35611
Phone (256) 230-1133

Practitioners & affiliated clinicians

Practitioners 1

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": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1063771053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 W MARKET ST",
            "address_2": "SUITE D",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112456",
            "telephone_number": "256-233-5145",
            "fax_number": "256-230-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 W MARKET ST",
            "address_2": "SUITE D",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112456",
            "telephone_number": "256-233-5145",
            "fax_number": "256-230-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYSE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "ROYSE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-233-5145",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00025382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138775",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.