Organization Active NPI

Elgin Quick Med, Inc

  • Family Medicine Physician
  • Rogersville, AL
National Provider Identifier
1194909796
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELGIN QUICK MED, INC
Practice address
2850 Hwy 101
Rogersville, AL 35652
Phone
(256) 247-1331
Fax
(256) 247-9791
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Doris Wills
Title
Billing Manager
Phone
(256) 768-9928

Specialties & licenses 1

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

Addresses

Primary practice location

2850 Hwy 101
Rogersville, AL 35652

Mailing address

2850 Hwy 101
Rogersville, AL 35652
Phone (256) 247-1331

National Provider Directory

National Provider Directory

Locations

11631 Highway 101
Lexington, AL 35648
Phone (256) 229-6262

2850 Highway 101
Rogersville, AL 35652
Phone (256) 247-1331

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": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1194909796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 HWY 101",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "35652",
            "telephone_number": "256-247-1331",
            "fax_number": "256-247-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 HWY 101",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "35652",
            "telephone_number": "256-247-1331",
            "fax_number": "256-247-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN QUICK MED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "256-768-9928"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.