American Family Care LLC

Organization Active NPI Primary Care Clinic/Center · Birmingham, AL

NPI 1275549685 · NPPES record last updated Mar 27, 2025

Key facts

NPI
1275549685
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
AMERICAN FAMILY CARE LLC
Practice address
2757 Greensprings Hwy
Birmingham, AL 35209
Phone
(205) 290-0088
Fax
(205) 945-1157
NPI assigned
Jul 31, 2006
Organization subpart
Yes
Parent organization (as reported)
AMERICAN FAMILY CARE, LLC

Authorized official

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL

Medicare enrollment records

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

Part of
American Fam Care

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208D00000X
Clinic/Center 261Q00000X
Primary Care Clinic/Center 261QP2300X Yes
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

2757 Greensprings Hwy
Birmingham, AL 35209

Mailing address

2147 Riverchase Office Road
Hoover, AL 35244
Phone (205) 403-8902

Other identifiers

IdentifierTypeStateIssuer
529202590MedicaidAL

Other providers in Birmingham, AL

All providers in Birmingham, AL · Primary Care Clinic/Center in Alabama

Sources for this page

Verify at the official NPI Registry.