NPIMap

Organization Active NPI

Medical Associates of the Shoals, P.C.

  • Family Medicine Physician
  • Sheffield, AL
National Provider Identifier
1093881468
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL ASSOCIATES OF THE SHOALS, P.C.
Practice address
1120 S Jackson Hwy Ste 300
Sheffield, AL 35660-5773
Phone
(256) 383-4447
Fax
(256) 381-7999
NPI assigned
Nov 28, 2006
Last updated
Dec 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Dr. Joshua Vacik, M.D.NPI 1770582371
Title
Physician
Phone
(256) 383-4447

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 Physician 207Q00000X Primary

Addresses

Primary practice location

1120 S Jackson Hwy Ste 300
Sheffield, AL 35660-5773

Mailing address

1120 S Jackson Hwy Ste 300
Sheffield, AL 35660-5773
Phone (256) 383-4447

Other practice location 1

1106 N Cave St
Tuscumbia, AL 35674-1358
Phone (256) 386-7774

Other practice location 2

351 Highway 64
Killen, AL 35645-4829
Phone (256) 272-8066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041207001024 AL Part B Supplier - Clinic/Group Practice 1456317833 Receives reassigned benefits from 32 practitioners
Practice locations: Sheffield, AL; Tuscumbia, AL; Killeen, AL; Florence, 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
01D0302711Medical Associates of the Shoals1120 S Jackson Hwy Suite 300, Sheffield, AL 35660AccreditationFeb 26, 2028
01D2165255Medical Associates of the Shoals PC351 Highway 64, Killen, AL 35645Certificate of waiverApr 22, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDCJBD

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1093881468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY STE 300",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605773",
            "telephone_number": "256-383-4447",
            "fax_number": "256-381-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY STE 300",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605773",
            "telephone_number": "256-383-4447",
            "fax_number": "256-381-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 N Cave St",
            "address_purpose": "LOCATION",
            "city": "Tuscumbia",
            "state": "AL",
            "postal_code": "356741358",
            "country_code": "US",
            "telephone_number": "256-386-7774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 Highway 64",
            "address_purpose": "LOCATION",
            "city": "Killen",
            "state": "AL",
            "postal_code": "356454829",
            "country_code": "US",
            "telephone_number": "256-272-8066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF THE SHOALS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "VACIK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "256-383-4447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.