NPIMap

Organization Active NPI

Skye Health LLC

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1104578434
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SKYE HEALTH LLC
Practice address
7212 Copperfield Dr
Montgomery, AL 36117-7100
Phone
(334) 647-1444
NPI assigned
Jan 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Robert Tate
Title
Ceo
Phone
(334) 647-1444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7212 Copperfield Dr
Montgomery, AL 36117-7100

Mailing address

7212 Copperfield Dr
Montgomery, AL 36117-7100
Phone (334) 647-1444

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL PracticeFusion Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1107 N Eastern Blvd
Montgomery, AL 36117
Phone (334) 647-1444

7212 Copperfield Dr
Montgomery, AL 36117
Phone (334) 384-1141

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1104578434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 COPPERFIELD DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177100",
            "telephone_number": "334-647-1444",
            "fax_number": "334-647-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 COPPERFIELD DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177100",
            "telephone_number": "334-647-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-647-1444"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PracticeFusion",
            "affiliation": "N",
            "endpointDescription": "Software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "7212 Copperfield Dr",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361177100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.