Organization Active NPI

American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
National Provider Identifier
1265210645
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AMERICAN FAMILY CARE, LLC
Practice address
708 Montgomery Hwy # 101
Vestavia Hills, AL 35216-1836
Phone
(205) 438-9679
Fax
(205) 545-4813
NPI assigned
Sep 18, 2023
Last updated
Mar 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Randy Johansen
Title
President
Phone
(205) 421-2101

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Clinic/Center 261Q00000X
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

708 Montgomery Hwy # 101
Vestavia Hills, AL 35216-1836

Mailing address

3700 Cahaba Beach Rd
Birmingham, AL 35242-5225
Phone (205) 403-8902

Other identifiers 1

IdentifierTypeStateIssuer
529202590MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000157 AL Part B Supplier - Clinic/Group Practice 9739087818 Receives reassigned benefits from 704 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
American Famcare Medical31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

Locations

1007 9th Ave N
Bessemer, AL 35020
Phone (205) 358-9300

1841 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 297-2548

2445 Murphy Mill Rd
Dothan, AL 36303
Phone (334) 564-8255

606 Boll Weevil Cir
#A
Enterprise, AL 36330
Phone (334) 475-2462

1682 Montgomery Hwy
Hoover, AL 35216
Phone (205) 421-0000

5410 Highway 280
Hoover, AL 35242
Phone (205) 201-7290

5410 Highway 280
Ste 100
Hoover, AL 35242
Phone (205) 201-7290

3351 Main St
Millbrook, AL 36054
Phone (334) 285-7808

5235 Rangeline Service Rd S
Ste A
Mobile, AL 36619
Phone (251) 544-6449

34 Taylor Rd N
Montgomery, AL 36117
Phone (334) 272-7639

601 N Eastern Byp
Montgomery, AL 36117
Phone (334) 279-6331

6910 Vaughn Rd
Montgomery, AL 36116
Phone (334) 279-7444

3000 Cahaba Village Plz
Ste 100
Mountain Brk, AL 35243
Phone (205) 263-7836

3000 Cahaba Village Plz
Ste 110
Mountain Brk, AL 35243
Phone (205) 263-7836

7 Office Park Cir
Mountain Brk, AL 35223
Phone (205) 802-2020

7 Office Park Cir
Ste 201
Mountain Brk, AL 35223
Phone (205) 879-7454

1097 Industrial Pkwy
Saraland, AL 36571
Phone (205) 403-8902

608 Skyland Blvd E
Tuscaloosa, AL 35405
Phone (205) 752-2266

708 Montgomery Hwy
#101
Vestavia Hills, AL 35216
Phone (205) 438-9679

2533 Denny Ave
Pascagoula, MS 39567
Phone (228) 762-0222

Practitioners & affiliated clinicians

Practitioners 701

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.

View all 701

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1265210645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 CAHABA BEACH RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425225",
            "telephone_number": "205-403-8902",
            "fax_number": "205-271-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 MONTGOMERY HWY # 101",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161836",
            "telephone_number": "205-438-9679",
            "fax_number": "205-545-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-421-2101"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529202590",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.