NPIMap

Organization Active NPI

Madison Family Health, LLC

  • Family Medicine Physician
  • Madison, AL
National Provider Identifier
1194762435
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MADISON FAMILY HEALTH, LLC
Practice address
3776 Sullivan St
Suite D
Madison, AL 35758-2371
Phone
(256) 325-0302
Fax
(256) 325-0391
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Dr. Sharon Y Thomas-McKelvy, M.D.
Title
President
Phone
(256) 325-0302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3776 Sullivan St
Suite D
Madison, AL 35758-2371

Mailing address

3776 Sullivan St
Suite D
Madison, AL 35758-2371
Phone (256) 325-0302

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1194762435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3776 SULLIVAN ST",
            "address_2": "SUITE D",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582371",
            "telephone_number": "256-325-0302",
            "fax_number": "256-325-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3776 SULLIVAN ST",
            "address_2": "SUITE D",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582371",
            "telephone_number": "256-325-0302",
            "fax_number": "256-325-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON FAMILY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS-MCKELVY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-325-0302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.