Organization Active NPI

Marshall Family Medicine

  • Family Medicine Physician
  • Arab, AL
National Provider Identifier
1164040986
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARSHALL FAMILY MEDICINE
Practice address
184 S Main St
Arab, AL 35016-1351
Phone
(256) 571-8500
Fax
(256) 571-8502
NPI assigned
Jul 8, 2020
Organization subpart
Yes
Parent organization
HH HEALTH SYSTEM - MARSHALL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Mr. Taylor M Walker
Title
Cfo
Phone
(256) 894-6600

Specialties & licenses 1

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

Addresses

Primary practice location

184 S Main St
Arab, AL 35016-1351

Mailing address

PO Box 11407
Dept# 8241
Birmingham, AL 35246-8241
Phone (256) 571-8500

Other identifiers 1

IdentifierTypeStateIssuer
255058MedicaidAL

Other names 1

  • Marshall Primary Care Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200904000452 AL Part B Supplier - Clinic/Group Practice 5799102729 Receives reassigned benefits from 3 practitioners
Practice locations: Guntersville, AL; Arab, AL; Boaz, AL

National Provider Directory

National Provider Directory
Part of
HH Health System - Marshall

Locations

184 S Main St
Arab, AL 35016
Phone (256) 571-8500

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1164040986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "address_2": "DEPT# 8241",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468241",
            "telephone_number": "256-571-8500",
            "fax_number": "256-571-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 S MAIN ST",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "350161351",
            "telephone_number": "256-571-8500",
            "fax_number": "256-571-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL FAMILY MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HH HEALTH SYSTEM - MARSHALL LLC",
        "enumeration_date": "2020-07-08",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-894-6600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255058",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall Primary Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Arab, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.