Organization Active NPI

Remnant Medicine LLC

  • Primary Care Clinic/Center
  • Prattville, AL
National Provider Identifier
1164891248
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
150982 Issued in AL
Legal business name
REMNANT MEDICINE LLC
Practice address
1805 Station Dr
Prattville, AL 36066-5667
Phone
(334) 730-0880
Fax
(334) 730-0877
NPI assigned
Sep 18, 2015
Last updated
Sep 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Amanda Wilcox, M.D.
Title
Physician/Manager
Phone
(334) 730-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 150982 AL Primary

Addresses

Primary practice location

1805 Station Dr
Prattville, AL 36066-5667

Mailing address

1805 Station Dr
Prattville, AL 36066-5667
Phone (334) 730-0880

National Provider Directory

National Provider Directory

Locations

1805 Station Dr
Prattville, AL 36066
Phone (334) 203-4219

1805 Station Dr
Ste A
Prattville, AL 36066
Phone (334) 730-0877

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12197/brand/1/csg/1/fhir/r4

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": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1164891248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 STATION DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665667",
            "telephone_number": "334-730-0880",
            "fax_number": "334-730-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 STATION DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665667",
            "telephone_number": "334-730-0880",
            "fax_number": "334-730-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMNANT MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PHYSICIAN/MANAGER",
        "authorized_official_telephone_number": "334-730-0880",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "150982",
            "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 Sep 18, 2015; 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.