Prestige Telemedicine Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRESTIGE TELEMEDICINE GROUP LLC

Practice address

303 Cumberland Rd
Fairhope, AL 36532-3442

Phone

(251) 517-4411

NPI assigned

Jul 23, 2020

Last updated

Jul 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Brooks Faggard, CRNP

Title

General Manager

Phone

(251) 610-4188

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jeffrey D Faggard, M.D

  • Rheumatology Physician
  • Mobile, AL
  • NPI 1164542346
  NPD

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1093324287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 RANDALL AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264231",
            "telephone_number": "251-517-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 CUMBERLAND RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323442",
            "telephone_number": "251-517-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE TELEMEDICINE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "FAGGARD",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "251-610-4188",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.