Organization Active NPI

Scottsboro Urgent Care

  • Family Medicine Physician
  • Scottsboro, AL
National Provider Identifier
1205267150
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SCOTTSBORO URGENT CARE
Practice address
102 Micah Way
Suite 1107
Scottsboro, AL 35769-4160
Phone
(256) 259-4802
Fax
(256) 218-3536
NPI assigned
Dec 3, 2013
Last updated
Dec 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Karen Grider
Title
Director of Physician Services
Phone
(256) 218-3856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AL Primary

Addresses

Primary practice location

102 Micah Way
Suite 1107
Scottsboro, AL 35769-4160

Mailing address

102 Micah Way
Suite 1107
Scottsboro, AL 35769-4160
Phone (256) 259-4802

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1205267150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MICAH WAY",
            "address_2": "SUITE 1107",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357694160",
            "telephone_number": "256-259-4802",
            "fax_number": "256-218-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MICAH WAY",
            "address_2": "SUITE 1107",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357694160",
            "telephone_number": "256-259-4802",
            "fax_number": "256-218-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSBORO URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "GRIDER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "256-218-3856"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.