USA Health Daphne Family Practice, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

USA HEALTH DAPHNE FAMILY PRACTICE, LLC

Practice address

21950 State Highway 181 Ste a
Fairhope, AL 36532-4393

Phone

(251) 621-6520

Fax

(251) 621-6521

NPI assigned

Dec 7, 2021

Organization subpart

No

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

Authorized official

Name

Tishia Johnson

Title

Financial Manager

Phone

(251) 850-5053

Specialties & licenses 1

Addresses

Other names 2

• Baldwin Family Medicine Doing business as
• USA Health Daphne Family Practice Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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

• Andrew Glenn Freeman, MD

  • Family Medicine Physician
  • Fairhope, AL
  • NPI 1306895198
  Medicare reassignment Care Compare group NPD
• Laura Kathleen Edwards Hollensworth, M.D.

  • Family Medicine Physician
  • Fairhope, AL
  • NPI 1578584900
  Medicare reassignment Care Compare group NPD
• Charles Kirkland II, M.D.

  • Family Medicine Physician
  • Fairhope, AL
  • NPI 1669646147
  Medicare reassignment Care Compare group NPD
• Lynne Potts Kirkland, MD

  • Family Medicine Physician
  • Fairhope, AL
  • NPI 1881643575
  Medicare reassignment Care Compare group NPD
• Oscar Jonathan Villasis Lopez, DO

  • Family Medicine Physician
  • Fairhope, AL
  • NPI 1033748447

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Amanda Woods Robinson, M.D.

  • Family Medicine Physician
  • Fairhope, AL
  • NPI 1174880546
  Medicare reassignment Care Compare group NPD
• Benjamin Powell Schrubbe, MD

  • Family Medicine Physician
  • Fairhope, AL
  • NPI 1306895289
  Medicare reassignment Care Compare group NPD
• Laura Harris Thompson, M.D.

  • Family Medicine Physician
  • Fairhope, AL
  • NPI 1386964930
  Medicare reassignment Care Compare group NPD
• Leon Durward McLaughlin Jr., MD

  • Family Medicine Physician
  • Daphne, AL
  • NPI 1649286188
  NPD
• Gordon Spafford, MD

  • Family Medicine Physician
  • Daphne, AL
  • NPI 1326096173
  NPD

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1174281166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749429",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749429",
            "telephone_number": "251-621-6520",
            "fax_number": "251-621-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21950 STATE HIGHWAY 181 STE A",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324393",
            "telephone_number": "251-621-6520",
            "fax_number": "251-621-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA HEALTH DAPHNE FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TISHIA",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "251-850-5053"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baldwin Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "USA Health Daphne Family Practice Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Ubokudom, MD
• Robin J Underwood, CRNP
• University of South Alabama Health Care Authority
• Urgent Care of Fairhope LLC
• USA Baldwin County ASC, LLC
• USA Health Physician Billing Services LLC
• Jessica A Vandegrift, OTR/L
• Esther Varghese, MD
• Ashley Vaughan, CMA
• Vaughn H. Mancha, Jr., P.C.

• Family Medicine Physician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.