NPIMap

Organization Active NPI

Family First Medicine LLC

  • Family Medicine Physician
  • Rainsville, AL
National Provider Identifier
1194905075
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY FIRST MEDICINE LLC
Practice address
504 McCurdy Ave South
Ste 6
Rainsville, AL 35986-5254
Phone
(256) 638-9161
Fax
(256) 638-9164
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Debra Le Ann Thrash, CNA
Title
Owner/Physician
Phone
(256) 638-9161

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 1093350 AL

Addresses

Primary practice location

504 McCurdy Ave South
Ste 6
Rainsville, AL 35986-5254

Mailing address

PO Box 649
Rainsville, AL 35986-0649
Phone (256) 638-9161

Other identifiers 1

IdentifierTypeStateIssuer
DO6289OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080305000453 AL Part B Supplier - Clinic/Group Practice 4880779503 Receives reassigned benefits from 20 practitioners
Practice locations: Fort Payne, AL; Rainesville, AL; Scottsboro, AL

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
01D1078112Family First Medicine504 McCurdy Ave South Suite 6, Rainsville, AL 35986Certificate of waiverOct 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Family First Medicine LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

504 McCurdy Ave S
Ste 649
Rainsville, AL 35986

504 McCurdy Ave S
Rainsville, AL 35986
Phone (256) 638-9161

1601 Veterans Dr
Ste 102
Scottsboro, AL 35769
Phone (256) 638-9161

1601 Veterans Dr
Scottsboro, AL 35769
Phone (256) 638-9161

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1194905075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359860649",
            "telephone_number": "256-638-9161",
            "fax_number": "256-638-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MCCURDY AVE SOUTH",
            "address_2": "STE 6",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359865254",
            "telephone_number": "256-638-9161",
            "fax_number": "256-638-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "THRASH",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LE ANN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "256-638-9161",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1093350",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DO6289",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.