Organization Active NPI

Premier Family Medicine, PC

  • Primary Care Clinic/Center
  • Huntsville, AL
National Provider Identifier
1124216932
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25786 Issued in AL
Legal business name
PREMIER FAMILY MEDICINE, PC
Practice address
4820 University Dr NW Ste 35
Huntsville, AL 35816-1824
Phone
(256) 721-9444
Fax
(256) 721-0069
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Dr. Francene A Gayle, MD
Title
Owner
Phone
(256) 721-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 25786 AL Primary

Addresses

Primary practice location

4820 University Dr NW Ste 35
Huntsville, AL 35816-1824

Mailing address

4820 University Dr NW Ste 35
Huntsville, AL 35816-1824
Phone (256) 721-9444

Other identifiers 2

IdentifierTypeStateIssuer
051555502MedicaidAL
51000429OtherALBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

4820 University Dr NW
Huntsville, AL 35816
Phone (256) 721-9444

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1124216932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 UNIVERSITY DR NW STE 35",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161824",
            "telephone_number": "256-721-9444",
            "fax_number": "256-721-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 UNIVERSITY DR NW STE 35",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161824",
            "telephone_number": "256-721-9444",
            "fax_number": "256-721-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "FRANCENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-721-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "25786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051555502",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51000429",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.