Marshall Medical Center North Family Medical Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MARSHALL MEDICAL CENTER NORTH FAMILY MEDICAL CENTER

Practice address

7938 Al Highway 69
Suite 360
Guntersville, AL 35976-7134

Phone

(256) 571-8580

Fax

(256) 571-8585

NPI assigned

Oct 18, 2011

Organization subpart

Yes

Parent organization

MARSHALL MEDICAL CENTER NORTHAs reported in NPPES

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

Authorized official

Name

Kathy B Nelson

Title

Cfo

Phone

(256) 894-6701

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Marshall Medical Center North Family Medical Center of Arab Former legal business name

Part of

Craig a Young MD

Locations

Practitioners 2

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

• Starlyn Wingard Dyar, CRNP

  • Family Medicine Physician
  • Arab, AL
  • NPI 1235088949
  NPD (past)
• Jessica Diane Sparks, M.D.

  • Family Medicine Physician
  • Arab, AL
  • NPI 1750757969
  NPD (past)

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1225313513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7938 AL HIGHWAY 69",
            "address_2": "SUITE 360",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767134",
            "telephone_number": "256-571-8580",
            "fax_number": "256-571-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7938 AL HIGHWAY 69",
            "address_2": "SUITE 360",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767134",
            "telephone_number": "256-571-8580",
            "fax_number": "256-571-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MEDICAL CENTER NORTH FAMILY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHALL MEDICAL CENTER NORTH",
        "enumeration_date": "2011-10-18",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-894-6701"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "MD.31188",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDV NPI",
            "identifier": "1376718080",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall Medical Center North Family Medical Center of Arab",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Marshall Medical Center North (Roberts Family Practice)
• Marshall Medical Center North (Emergency Physicians North)
• Marshall Medical Center North
• Marshall Medical Center North (Inpatient Services Dr. Maze)
• Marshall Medical Center North (Marshall Diagnostic Center)
• Marshall Medical Center North Jones Pediatric Practice
• Marshall Medical Center North Medical Centers Behavioral Health Clinic
• Marshall Medical Center South (Orthopaedic Assoc of Marshall County)
• Marshall Medical Center South Manganaris Pulmonology
• Marshall Medical Center South Medical Specialists of North Alabama

• Primary Care Clinic/Center in Guntersville, AL
• Providers in Guntersville, AL by specialty
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.