NPIMap

Organization Active NPI

Imc - Hand Ave Family Practice P.C.

  • Family Medicine Physician
  • Bay Minette, AL
National Provider Identifier
1275650509
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7674 Issued in AL
Legal business name
IMC - HAND AVE FAMILY PRACTICE P.C.
Practice address
2002 McMillan Ave
Bay Minette, AL 36507-4134
Phone
(251) 937-7796
Fax
(251) 937-1250
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James O. Devaney, M.D.NPI 1124188610
Title
Physician
Phone
(251) 937-7796

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 7674 AL Primary

Addresses

Primary practice location

2002 McMillan Ave
Bay Minette, AL 36507-4134

Mailing address

2002 McMillan Ave
Bay Minette, AL 36507-4134
Phone (251) 937-7796

Other names 1

  • James O. DeVaney, M.D., P.C. Other name

National Provider Directory

National Provider Directory

Locations

2002 McMillan Ave
Bay Minette, AL 36507
Phone (251) 580-8475

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275650509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MCMILLAN AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074134",
            "telephone_number": "251-937-7796",
            "fax_number": "251-937-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MCMILLAN AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074134",
            "telephone_number": "251-937-7796",
            "fax_number": "251-937-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMC - HAND AVE FAMILY PRACTICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVANEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "251-937-7796",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "7674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James O. DeVaney, M.D., P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bay Minette, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.