American Family Care, LLC
Organization Active NPI Primary Care Clinic/Center · Tuscaloosa, AL
NPI 1295069037 · NPPES record last updated Mar 27, 2025
Key facts
- NPI
- 1295069037
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- AMERICAN FAMILY CARE, LLC
- Practice address
- 9070 Highway 69 South
Tuscaloosa, AL 35405-8797 - Phone
- (205) 722-9500
- Fax
- (205) 722-9505
- NPI assigned
- Sep 28, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- AMERICAN FAMILY CARE, LLC
Authorized official
- Name
- Mr. Randy Johansen
- Title
- President
- Phone
- (205) 421-2101
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D1106294 | American Family Care - Highway 69 South | Certificate of waiver | Aug 29, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | AL | ||
| Clinic/Center | 261Q00000X | |||
| Primary Care Clinic/Center | 261QP2300X | Yes | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
9070 Highway 69 South
Tuscaloosa, AL 35405-8797
Mailing address
3700 Cahaba Beach Rd
Birmingham, AL 35242-5225
Phone (205) 403-8902
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529202590 | Medicaid | AL |
Other names
- American Family Care
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All providers in Tuscaloosa, AL · Primary Care Clinic/Center in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.