Organization Active NPI

Marble City Family Care and Obstetrics, PC

  • Family Medicine Physician
  • Sylacauga, AL
National Provider Identifier
1194025346
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARBLE CITY FAMILY CARE AND OBSTETRICS, PC
Practice address
11 N Norton Ave
Sylacauga, AL 35150-2451
Phone
(256) 245-6700
Fax
(256) 245-6002
NPI assigned
Oct 21, 2010
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Mrs. Gaylynn Kelso
Title
Office Manager
Phone
(256) 245-6700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Obstetrics & Gynecology Physician 207V00000X NU

Addresses

Primary practice location

11 N Norton Ave
Sylacauga, AL 35150-2451

Mailing address

11 N Norton Ave
Sylacauga, AL 35150-2451
Phone (256) 245-6700

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2015556Marble City Family Care and Obstetrics PC11 North Norton Avenue, Sylacauga, AL 35150Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory

Locations

1023 W Fort Williams St
Sylacauga, AL 35150
Phone (256) 245-6700

11 N Norton Ave
Sylacauga, AL 35150
Phone (256) 245-6700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20741/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1194025346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N NORTON AVE",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502451",
            "telephone_number": "256-245-6700",
            "fax_number": "256-245-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N NORTON AVE",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502451",
            "telephone_number": "256-245-6700",
            "fax_number": "256-245-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBLE CITY FAMILY CARE AND OBSTETRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "KELSO",
        "authorized_official_first_name": "GAYLYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-245-6700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.

Verify at the official NPI Registry.