NPIMap

Organization Active NPI

Clarke County Medical Group LLC

  • Family Medicine Physician
  • Thomasville, AL
National Provider Identifier
1144322306
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLARKE COUNTY MEDICAL GROUP LLC
Practice address
3050 Highway 5
Unit 134
Thomasville, AL 36784-4325
Phone
(334) 636-5311
Fax
(334) 636-2280
NPI assigned
Sep 1, 2006
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Mrs. Dinah Pritchett, CRNP
Title
Office Manager CRNP
Phone
(334) 636-5311

Specialties & licenses 1

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

Addresses

Primary practice location

3050 Highway 5
Unit 134
Thomasville, AL 36784-4325

Mailing address

3050 Highway 5
Unit 134
Thomasville, AL 36784-4325
Phone (334) 636-5311

National Provider Directory

National Provider Directory

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": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1144322306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 HIGHWAY 5",
            "address_2": "UNIT 134",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367844325",
            "telephone_number": "334-636-5311",
            "fax_number": "334-636-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 HIGHWAY 5",
            "address_2": "UNIT 134",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367844325",
            "telephone_number": "334-636-5311",
            "fax_number": "334-636-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKE COUNTY MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "PRITCHETT",
        "authorized_official_first_name": "DINAH",
        "authorized_official_title_or_position": "OFFICE MANAGER CRNP",
        "authorized_official_telephone_number": "334-636-5311",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.