Family Medicine of Sardis PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO779 Issued in AL

Legal business name

FAMILY MEDICINE OF SARDIS PC

Practice address

1180 Sardis Dr
Sardis City, AL 35956-2139

Phone

(256) 593-9999

Fax

(256) 593-9141

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Evan Michael Johnson, D.O.NPI 1659399772

Title

President, Owner

Phone

(256) 593-9999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Sand Mountain Imaging, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Albertville, AL
  • NPI 1639122120

  Member Of

  NPD member

Practitioners 4

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

• Evan Michael Johnson, D.O.

  • Family Medicine Physician
  • Sardis City, AL
  • NPI 1659399772
  Medicare reassignment Care Compare group NPD Authorized official
• Misty Lynne Holcomb, NP

  • Family Nurse Practitioner
  • Southside, AL
  • NPI 1912154956
  Medicare reassignment Care Compare group NPD
• April Miller

  • Family Nurse Practitioner
  • Guntersville, AL
  • NPI 1548621220
  Medicare reassignment Care Compare group NPD
• Kayla Pruitt, CRNP

  • Nurse Practitioner
  • Boaz, AL
  • NPI 1568223782
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1245398304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1049",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359572201",
            "telephone_number": "256-593-9999",
            "fax_number": "256-593-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SARDIS DR",
            "city": "SARDIS CITY",
            "state": "AL",
            "postal_code": "359562139",
            "telephone_number": "256-593-9999",
            "fax_number": "256-593-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF SARDIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "256-593-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tauret P. Burke, D.C.
• Crossville Chiropractic Health Center
• Agustin Gilbert R Flores, MD
• Evan Michael Johnson, D.O.
• Cherie L Keahey, CRNP
• Robert Lee McClendon Jr., RPH
• Protz Chiropractic Wellness Clinic, LLC

• Family Medicine Physician in Sardis City, AL
• Providers in Sardis City, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.