Boaz and Albertville Family Care, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BOAZ AND ALBERTVILLE FAMILY CARE, LLC

Practice address

214 S McCleskey St Ste 863
Boaz, AL 35957-2187

Phone

(256) 849-0500

Fax

(339) 770-7908

NPI assigned

Dec 24, 2020

Last updated

May 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Messalina Jordan, DONPI 1114218039

Title

Owner

Phone

(205) 451-6711

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

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23097/brand/1/csg/1/fhir/r4

Practitioners 3

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.

• Messalina Charisse Jordan, D.O.

  • Family Medicine Physician
  • Albertville, AL
  • NPI 1114218039
  Medicare reassignment Care Compare group NPD Authorized official
• Katherine Casey, NP

  • Family Nurse Practitioner
  • Boaz, AL
  • NPI 1932913373
  Medicare reassignment Care Compare group NPD
• Breck Fowler Hamilton

  • Primary Care Nurse Practitioner
  • Albertville, AL
  • NPI 1922607548

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1245827203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359570022",
            "telephone_number": "256-849-0500",
            "fax_number": "256-573-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S MCCLESKEY ST STE 863",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359572187",
            "telephone_number": "256-849-0500",
            "fax_number": "339-770-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOAZ AND ALBERTVILLE FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-24",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MESSALINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-451-6711",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Parris Bennett, LPC, AADC, NCC
• Traci Renee Billingsley, P.A.
• Candi Denise Blackwell, CRNA
• Robert Blaker
• Jason Boatfield, PT
• Boaz Chiropractic (Chiropractic)
• Boaz City Schools
• Boaz City Schools
• Boaz Discount Drugs Inc
• Boaz Discount Drugs Inc

• Clinic/Center in Boaz, AL
• Providers in Boaz, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.