NPIMap

Organization Active NPI

Doctors Med Care PC

  • Urgent Care Clinic/Center
  • Albertville, AL
National Provider Identifier
1083643167
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
17527 Issued in AL
Legal business name
DOCTORS MED CARE PC
Practice address
604 Smith Rd
Albertville, AL 35951-3412
Phone
(256) 891-1460
NPI assigned
Jul 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pranav Mishra, M.D.NPI 1609800531
Title
President
Phone
(256) 891-1460

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
Urgent Care Clinic/Center 261QU0200X 17527 AL Primary

Addresses

Primary practice location

604 Smith Rd
Albertville, AL 35951-3412

Mailing address

PO Box 1397
Albertville, AL 35950-0023
Phone (256) 891-1460

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050223000827 AL Part B Supplier - Clinic/Group Practice 1557314184 Receives reassigned benefits from 9 practitioners
Practice locations: Albertville, AL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0884020Doctors Med Care P C604 Smith Road, Albertville, AL 35951ComplianceApr 11, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

604 Smith Rd
Albertville, AL 35951
Phone (256) 891-1460

2108 Rainbow Dr
Gadsden, AL 35901
Phone (256) 547-0160

Practitioners & affiliated clinicians

Practitioners 12

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": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083643167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1397",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500023",
            "telephone_number": "256-891-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SMITH RD",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359513412",
            "telephone_number": "256-891-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS MED CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "PRANAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-891-1460",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AL",
            "license": "17527",
            "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 Aug 22, 2020; 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.