Active NPI
Hawkins Medical and Wellness, LLC
- Primary Care Clinic/Center
- Cullman, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- HAWKINS MEDICAL AND WELLNESS, LLC
- Practice address
- 421 3Rd Ave SE Ste 145
Cullman, AL 35055-3540 - Phone
- (318) 422-3876
- NPI assigned
- Oct 12, 2023
- Last updated
- Oct 12, 2023
- 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. Jeremy Hawkins, MD
- Title
- Physician/Owner
- Phone
- (318) 422-3876
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
421 3Rd Ave SE Ste 145
Cullman, AL 35055-3540
Mailing address
421 3Rd Ave SE Ste 145
Cullman, AL 35055-3540
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2330398 | Hawkins Medical and Wellness, LLC | Certificate of waiver | Sep 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
421 3rd Ave SE
Ste 145
Cullman, AL 35055
Phone (318) 422-3876
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.
-
- Emergency Medicine Physician
- Shreveport, LA
- NPI 1790076438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697068800000",
"number": "1164203329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 3RD AVE SE STE 145",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350553540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 3RD AVE SE STE 145",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350553540",
"telephone_number": "318-422-3876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAWKINS MEDICAL AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-12",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A",
"authorized_official_last_name": "HAWKINS",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "318-422-3876",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.