Organization Active NPI

Pri Med Physicians Inc

Doing business as Pri Med Vaughn Road

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1164505707
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRI MED PHYSICIANS INC
Doing business as
Pri Med Vaughn Road
Practice address
2815 Eastern Blvd
Montgomery, AL 36116-1021
Phone
(334) 271-4545
Fax
(334) 271-6920
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Heide Garner Cook
Title
Coo
Phone
(334) 386-1444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2815 Eastern Blvd
Montgomery, AL 36116-1021

Mailing address

8401 Crossland Loop
Montgomery, AL 36117-8485
Phone (334) 386-1420

Other names 1

  • Pri Med Vaughn Road Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1164505707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 CROSSLAND LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178485",
            "telephone_number": "334-386-1420",
            "fax_number": "334-386-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 EASTERN BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161021",
            "telephone_number": "334-271-4545",
            "fax_number": "334-271-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRI MED PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "GARNER COOK",
        "authorized_official_first_name": "HEIDE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "334-386-1444"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pri Med Vaughn Road",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.