Primary Care Ctr of Tuscaloosa LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

21061 Issued in AL

Legal business name

PRIMARY CARE CTR OF TUSCALOOSA LLC

Practice address

1000 Fairfax Park
Tuscaloosa, AL 35406-2806

Phone

(205) 366-9181

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Angela K Smelley, MD

Title

Owner

Phone

(205) 366-9181

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1093853434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FAIRFAX PARK",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062806",
            "telephone_number": "205-366-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FAIRFAX PARK",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062806",
            "telephone_number": "205-366-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE CTR OF TUSCALOOSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "SMELLEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-366-9181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "21061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51517558",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Lawson Price, OD
• Hermine B Price, LCSW
• Tarnese Price
• Carol A Prickett, PH.D., MT-BC
• William Langley Pridgen, M.D.
• Prime Professionals Medical LLC
• Keshia Michelle Prince, PSYD
• Bethany Kimb Pritchett, MFTA
• Mike Pritchett, PHARMD
• Private Healthcare Facilities

• Primary Care Clinic/Center in Tuscaloosa, AL
• Providers in Tuscaloosa, 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 Jul 7, 2008; 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.