Foley Family Practice Management

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FOLEY FAMILY PRACTICE MANAGEMENT

Doing business as

Foley Family Practice

Practice address

205 W Orange Ave
Foley, AL 36535-1905

Phone

(251) 943-6108

Fax

(251) 943-6108

NPI assigned

Aug 18, 2015

Organization subpart

No

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

Authorized official

Name

Tara A Waite

Title

Owner

Phone

(205) 522-7000

Specialties & licenses 1

Addresses

Other names 1

• Foley Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 5

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

• Valerie Catherine Staples, DO

  • Family Medicine Physician
  • Foley, AL
  • NPI 1629303458
  Medicare reassignment Care Compare group NPD
• Michael Candio Caruso, MD

  • Family Medicine Physician
  • Clayton, GA
  • NPI 1720267891

  AL

  Medicare reassignment Care Compare group NPD
• Cameron Townsend Corte, MD

  • Family Medicine Physician
  • Fairhope, AL
  • NPI 1083034888
  Medicare reassignment NPD
• Joel Parker Laughlin, MD

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1578503496
  Medicare reassignment NPD
• Brittany Charlene Wickware, CRNP

  • Adult Health Nurse Practitioner
  • Daphne, AL
  • NPI 1053802926
  Medicare reassignment NPD

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1083080600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W ORANGE AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351905",
            "telephone_number": "251-943-6108",
            "fax_number": "251-943-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W ORANGE AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351905",
            "telephone_number": "251-943-6108",
            "fax_number": "251-943-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLEY FAMILY PRACTICE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-522-7000"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foley Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Foley Chiropractic, Inc.
• Foley Clinic Corp
• Foley Diagnostic Imaging, LLC
• Foley Emergency Physicians, LLC
• Foley Family Dentistry
• Foley Hospital Company LLC
• Foley Hospital Company LLC
• Foley Hospital Corporation
• Foley Imaging Center, Inc.
• Foley Pharmacy

• Primary Care Clinic/Center in Foley, AL
• Providers in Foley, AL by specialty
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.