NPIMap

Organization Active NPI

Community Medical Arts Center

  • Family Medicine Physician
  • Tallassee, AL
National Provider Identifier
1114118064
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY MEDICAL ARTS CENTER
Practice address
875 Friendship Rd
Tallassee, AL 36078-1234
Phone
(334) 283-3111
Fax
(334) 283-3156
NPI assigned
Aug 6, 2007
Last updated
Aug 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Melvin D. Russell, M.D.
Title
Managing Partner
Phone
(334) 283-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

875 Friendship Rd
Tallassee, AL 36078-1234

Mailing address

875 Friendship Rd
Tallassee, AL 36078-1234
Phone (334) 283-3111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1114118064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 FRIENDSHIP RD",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781234",
            "telephone_number": "334-283-3111",
            "fax_number": "334-283-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 FRIENDSHIP RD",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781234",
            "telephone_number": "334-283-3111",
            "fax_number": "334-283-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL ARTS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "334-283-3111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallassee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.