NPIMap

Organization Active NPI

Medac, PC

  • Primary Care Clinic/Center
  • Prattville, AL
National Provider Identifier
1134538572
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
16079 Issued in AL
Legal business name
MEDAC, PC
Practice address
270 Interstate Commercial Park Loop
Prattville, AL 36066-7361
Phone
(334) 361-8555
Fax
(866) 923-0406
NPI assigned
Aug 11, 2014
Last updated
Aug 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Dr. Johnnie Wayne Strickland Jr., MDNPI 1538152483
Title
Physician/Owner
Phone
(334) 361-8555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 16079 AL Primary

Addresses

Primary practice location

270 Interstate Commercial Park Loop
Prattville, AL 36066-7361

Mailing address

PO Box 680519
Prattville, AL 36068-0519
Phone (334) 361-8555

National Provider Directory

National Provider Directory

Locations

270 Interstate Commercial Park Loop
Prattville, AL 36066
Phone (334) 361-8225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1134538572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680519",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360680519",
            "telephone_number": "334-361-8555",
            "fax_number": "866-923-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 INTERSTATE COMMERCIAL PARK LOOP",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667361",
            "telephone_number": "334-361-8555",
            "fax_number": "866-923-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDAC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "334-361-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "16079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.