Marshall Medical Center North

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARSHALL MEDICAL CENTER NORTH

Practice address

4500 Main St
Grant, AL 35747-8303

Phone

(256) 728-8600

NPI assigned

Mar 1, 2010

Organization subpart

Yes

Parent organization

MARSHALL MEDICAL CENTER NORTHAs reported in NPPES

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

Authorized official

Name

Ms. Kathy B Nelson, CPA

Title

Cfo

Phone

(256) 894-6600

Specialties & licenses 1

Addresses

Other names 1

• Grant Primary Care 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

Part of

Craig a Young MD

Practitioners 4

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

• Amanda Lara Storey, MD

  • Family Medicine Physician
  • Grant, AL
  • NPI 1295883031
  Medicare reassignment Care Compare group NPD
• Dana Allen, F.N.P.

  • Primary Care Nurse Practitioner
  • Johnson City, TN
  • NPI 1407884869

  AL

  Medicare reassignment Care Compare group NPD
• Diana Cherise Rembert, CRNP

  • Nurse Practitioner
  • Grant, AL
  • NPI 1467514331
  Medicare reassignment NPD
• Stephanie Michele Rice, NP-C

  • Registered Nurse
  • Grant, AL
  • NPI 1447723184
  Medicare reassignment NPD

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1104149442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 11407",
            "address_2": "DEPT #0132",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460132",
            "telephone_number": "256-728-8600",
            "fax_number": "256-728-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MAIN ST",
            "city": "GRANT",
            "state": "AL",
            "postal_code": "357478303",
            "telephone_number": "256-728-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MEDICAL CENTER NORTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHALL MEDICAL CENTER NORTH",
        "enumeration_date": "2010-03-01",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-894-6600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grant Family Eye Care, P.C.
• Grant Family Medicine, LLC
• Grant Wellness Clinic, LLC
• Nicole B Jones, RPH
• James L Kendrick Jr., CRNA
• Diana Cherise Rembert, CRNP
• Stephanie Michele Rice, NP-C
• Christina M Sallustio, MS CCC-SLP
• Julian F Sparks, DMD
• Chandler Scott Stisher, MD

• Family Medicine Physician in Grant, AL
• Providers in Grant, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.