Active NPI
Premier Family Medicine, PC
- Primary Care Clinic/Center
- Huntsville, AL
National Provider Identifier
1124216932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 25786
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051555502 | Medicaid | AL | |
| 51000429 | Other | AL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.