NPIMap

Organization Active NPI

South Dekalb Family Medical Associates P.C.

Doing business as Med-Assist Doctors Group

  • Family Medicine Physician
  • Albertville, AL
National Provider Identifier
1245290154
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8076 Issued in AL
Legal business name
SOUTH DEKALB FAMILY MEDICAL ASSOCIATES P.C.
Doing business as
Med-Assist Doctors Group
Practice address
3442 US Highway 431
Albertville, AL 35950-0203
Phone
(256) 593-1234
Fax
(256) 593-6781
NPI assigned
Mar 24, 2006
Last updated
May 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Raymond C Ufford, M.D.NPI 1679568752
Title
President
Phone
(256) 593-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8076 AL Primary

Addresses

Primary practice location

3442 US Highway 431
Albertville, AL 35950-0203

Mailing address

3442 US Highway 431
Albertville, AL 35950-0203
Phone (256) 593-1234

Other identifiers 2

IdentifierTypeStateIssuer
541003908MedicaidAL
C72870OtherALUPIN

Other names 1

  • Med-Assist Doctors Group Doing business as

National Provider Directory

National Provider Directory

Locations

3442 US Highway 431
Albertville, AL 35950
Phone (256) 593-1234

3442 US Highway 431
#9633
Albertville, AL 35950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1245290154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3442 US HIGHWAY 431",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500203",
            "telephone_number": "256-593-1234",
            "fax_number": "256-593-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3442 US HIGHWAY 431",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500203",
            "telephone_number": "256-593-1234",
            "fax_number": "256-593-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DEKALB FAMILY MEDICAL ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "UFFORD",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-593-1234",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "8076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541003908",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C72870",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med-Assist Doctors Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.