Southern Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30193 Issued in AL

Legal business name

SOUTHERN FAMILY MEDICINE

Practice address

2367 US Highway 431
Boaz, AL 35957-5910

Phone

(256) 840-4571

Fax

(256) 840-4534

NPI assigned

Dec 5, 2011

Organization subpart

Yes

Parent organization

MARSHALL MEDICAL CENTER SOUTHAs reported in NPPES

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

Authorized official

Name

Mrs. Traci Stewart

Title

Director

Phone

(256) 840-4571

Specialties & licenses 1

Addresses

Part of

James a Clement Jr MMC

Locations

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1255609301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 11407",
            "address_2": "DEPT# 2069",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352462069",
            "telephone_number": "256-840-4571",
            "fax_number": "256-840-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2367 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575910",
            "telephone_number": "256-840-4571",
            "fax_number": "256-840-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN FAMILY MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHALL MEDICAL CENTER SOUTH",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "256-840-4571",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "30193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald F Slappey, MD
• Ashley C Smith, CPT CCMA
• Miranda P Smith, CRNP
• Tara Gabrielle Smith, RPH
• Southeast Cancer Network, Inc
• Southern Family Medicine, PC
• Ashley Lashea Stanford, ASSISTANT
• Rachel Stephens, LCSW
• Jonathan Ashe Storey, MD
• Meghan Street, ALC

• Family Medicine Physician in Boaz, AL
• Providers in Boaz, 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 5, 2011; 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.