Medical Asset Group, LLC
Organization Active NPI Family Medicine Physician · Albertville, AL
NPI 1194232132 · NPPES record last updated Dec 29, 2017
Key facts
- NPI
- 1194232132
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MEDICAL ASSET GROUP, LLC
- Practice address
- 3442 US Highway 431
Albertville, AL 35950-0203 - Phone
- (256) 907-9000
- Fax
- (256) 907-9003
- NPI assigned
- Dec 29, 2017
- Organization subpart
- No
Authorized official
- Name
- Raymond J Ufford
- Title
- Owner, Office Manager
- Phone
- (256) 907-9000
Other NPIs on the same Medicare enrollment 1
Subparts reporting this organization as parent 1
Practitioners 9
-
Melissa Ashley, CRNP
-
Carlos Chacon, CRNP
-
Angela Aurora Cunningham, NP-C
-
Jessica Lucas Gonzalez, MSN, CRNP, FNP-C
-
Jeffery H Mooneyham, CRNP
-
Peggy Jo Roberts, MSN, CRNP, FNP-C
-
Raymond C Ufford, M.D.
-
Robin Scott, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180622001849 | AL | Part B Supplier - Clinic/Group Practice | 6901151505 |
Receives reassigned benefits from 9 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Crossville, AL |
National Provider Directory
Locations
15239 AL Highway 68
Ste B
Crossville, AL 35962
Phone (256) 925-0012
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
3442 US Highway 431
Albertville, AL 35950-0203
Mailing address
3442 US Highway 431
Albertville, AL 35950-0203
Phone (256) 907-9000
Other providers in Albertville, AL
- Niccole Lynne McDaniel
- Savannah McDaniel
- Kerstin Annette McElvain
- Daniel Joseph McLean
- Natalie McNeese
- Medical Centers Homecare, LLC
- Michael a McEwen, M.D., P.a.
- Osalyn Shae Minor
- Andrea Leigh Minton
- Pranav Mishra
All providers in Albertville, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.