NPIMap

Organization Active NPI

Southern Family Practice and Occupational Medicine, Inc.

  • Primary Care Clinic/Center
  • Anniston, AL
National Provider Identifier
1326077108
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
DO-113 Issued in AL
Legal business name
SOUTHERN FAMILY PRACTICE AND OCCUPATIONAL MEDICINE, INC.
Practice address
700 Quintard Ave
Anniston, AL 36201-5758
Phone
(256) 236-9400
Fax
(256) 238-1498
NPI assigned
Jul 2, 2006
Last updated
Feb 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Donald Wayne Casey, D.O.NPI 1063444099
Title
President
Phone
(256) 236-9400

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
Primary Care Clinic/Center 261QP2300X DO-113 AL Primary

Addresses

Primary practice location

700 Quintard Ave
Anniston, AL 36201-5758

Mailing address

PO Box 457
Anniston, AL 36202-0457
Phone (256) 236-9400

Other identifiers 1

IdentifierTypeStateIssuer
1063444099OtherALNPI

National Provider Directory

National Provider Directory

Locations

700 Quintard Ave
Anniston, AL 36201
Phone (256) 231-0417

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1326077108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362020457",
            "telephone_number": "256-236-9400",
            "fax_number": "256-238-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 QUINTARD AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362015758",
            "telephone_number": "256-236-9400",
            "fax_number": "256-238-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN FAMILY PRACTICE AND OCCUPATIONAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-236-9400",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "DO-113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063444099",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.