Lisa Alison Florence, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO.920 Issued in AL

Practice address

1602 Highway 77
Southside, AL 35907-0100

Phone

(256) 295-4390

Fax

(256) 442-6762

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southside Family Medicine, Inc.

  • Family Medicine Physician
  • Southside, AL
  • NPI 1649463431

  Family Medicine

  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174657191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 HIGHWAY 77",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359070100",
            "telephone_number": "256-295-4390",
            "fax_number": "256-442-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 HIGHWAY 77",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359070100",
            "telephone_number": "256-295-4390",
            "fax_number": "256-442-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORENCE",
        "first_name": "LISA",
        "middle_name": "ALISON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay K Davis, CRNP
• Alesia Kay Dunlap, LPC
• Elite Health Group LLC Southside
• Eyecare Associates, Inc.
• Gina Bolton Farley
• Sarah Ashley Freeman, CRNP
• Sherry L Ghavassi
• Savannah Leigh Goodlett, CRNP
• Merin Amanda Graves, O.D.
• Taylor Reyanne Griffin, RN

• All providers in Southside, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.