Organization Active NPI

Family Medicine of Huntsville, PC

  • Specialist
  • Huntsville, AL
National Provider Identifier
1215074091
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FAMILY MEDICINE OF HUNTSVILLE, PC
Practice address
2410 Commerce CT SW
Huntsville, AL 35801-5679
Phone
(256) 539-7722
Fax
(256) 539-1816
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
WM David Huff, MD
Title
MD
Phone
(256) 539-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X AL Primary

Addresses

Primary practice location

2410 Commerce CT SW
Huntsville, AL 35801-5679

Mailing address

2410 Commerce CT SW
Huntsville, AL 35801-5679
Phone (256) 539-7722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060105000382 AL Part B Supplier - Clinic/Group Practice 9032132071 Receives reassigned benefits from 5 practitioners
Practice locations: Huntsville, 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
01D0692253Family Medicine of Huntsville2410 Commerce Court, Huntsville, AL 35801Certificate of waiverMay 14, 2027

National Provider Directory

National Provider Directory

Locations

2410 Commerce Ct SW
Huntsville, AL 35801
Phone (256) 539-7722

Practitioners & affiliated clinicians

Practitioners 6

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1215074091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 COMMERCE CT SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015679",
            "telephone_number": "256-539-7722",
            "fax_number": "256-539-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 COMMERCE CT SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015679",
            "telephone_number": "256-539-7722",
            "fax_number": "256-539-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF HUNTSVILLE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "WM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "256-539-7722",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.