Organization Active NPI

Limestone Medical Associates

  • Family Medicine Physician
  • Athens, AL
National Provider Identifier
1295419901
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIMESTONE MEDICAL ASSOCIATES
Practice address
15243 Greenfield Dr Ste a
Athens, AL 35613-2899
Phone
(256) 262-5700
Fax
(256) 262-5710
NPI assigned
Jun 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Sebrina Holt
Title
Director of Physician Network
Phone
(256) 216-9648

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

15243 Greenfield Dr Ste a
Athens, AL 35613-2899

Mailing address

15243 Greenfield Dr Ste a
Athens, AL 35613-2899
Phone (256) 262-5700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230803004641 AL Part B Supplier - Clinic/Group Practice 7012378219 Receives reassigned benefits from 8 practitioners
Practice locations: Athens, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2284853Limestone Medical Associates15243 Greenfield Dr Ste a, Athens, AL 35613Certificate of waiverJun 28, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1295419901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 GREENFIELD DR STE A",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132899",
            "telephone_number": "256-262-5700",
            "fax_number": "256-262-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 GREENFIELD DR STE A",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132899",
            "telephone_number": "256-262-5700",
            "fax_number": "256-262-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMESTONE MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "SEBRINA",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN NETWORK",
        "authorized_official_telephone_number": "256-216-9648"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.