NPIMap

Organization Active NPI

Professional Resources Management, Inc.

  • Family Medicine Physician
  • Union Springs, AL
National Provider Identifier
1194903997
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PROFESSIONAL RESOURCES MANAGEMENT, INC.
Practice address
308 Prairie St N
Union Springs, AL 36089-1417
Phone
(334) 738-1500
Fax
(334) 738-1478
NPI assigned
Feb 4, 2008
Organization subpart
Yes
Parent organization
PROFESSIONAL RESOURCES MANAGEMENT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Authorized official

Name
Ms. Vicki F Lawrenson
Title
Coo
Phone
(334) 386-0343

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X

Addresses

Primary practice location

308 Prairie St N
Union Springs, AL 36089-1417

Mailing address

PO Box 5013
Montgomery, AL 36103-5013
Phone (334) 386-0343

Other identifiers 2

IdentifierTypeStateIssuer
051050994OtherALBLUE CROSS
540003433MedicaidAL

Other names 1

  • Perfect Kids and Family Care Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040611000549 AL Part B Supplier - Clinic/Group Practice 5597748350 Receives reassigned benefits from 21 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Union Springs, AL
O20120113000712 AL Part A Provider - Rural Health Clinic 5597748350 Practice locations: Union Springs, AL

Rural health clinic certification: CCN 013433

Legal name
PROFESSIONAL RESOURCES MANAGEMENT, INC.
Doing business as
PERFECT KIDS & FAMILY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 23, 2000
Last certification
Dec 3, 2025
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Dec 10, 1980 in AL
Enrollment address
308 Prairie St N
Union Springs, AL 36089-1417

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Prof Res Mgmtt Siddiq MD

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
R&R Partners LLC Organization, Union Springs, AL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Aug 4, 2020 100%
Robert Lubin Individual 5% Or Greater Indirect Ownership Interest Aug 4, 2020 100%
Norma Sullivan Individual Corporate OfficerCfo Aug 1, 2020
Corporate DirectorCfo Aug 1, 2020
W-2 Managing EmployeeCfo Aug 1, 2020
Amanda Trawick Individual Corporate OfficerCeo Jun 25, 2023

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 9

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": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1194903997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5013",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361035013",
            "telephone_number": "334-386-0343",
            "fax_number": "334-386-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 PRAIRIE ST N",
            "city": "UNION SPRINGS",
            "state": "AL",
            "postal_code": "360891417",
            "telephone_number": "334-738-1500",
            "fax_number": "334-738-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RESOURCES MANAGEMENT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL RESOURCES MANAGEMENT, INC.",
        "enumeration_date": "2008-02-04",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "LAWRENSON",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "334-386-0343",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051050994",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540003433",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Kids and Family Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union Springs, AL

Sources for this page

Verify at the official NPI Registry.