Marshall Medical Center South

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15304 Issued in AL

Legal business name

MARSHALL MEDICAL CENTER SOUTH

Doing business as

Albertville Primary Care

Practice address

2505 US Hwy 431
Boaz, AL 35957

Phone

(256) 894-7795

Fax

(256) 894-6471

NPI assigned

Dec 1, 2006

Organization subpart

Yes

Parent organization

MARSHALL MEDICAL CENTER SOUTHAs reported in NPPES

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

Authorized official

Name

Dr. Gary Alan Calhoun, MDNPI 1083687990

Title

Physician

Phone

(256) 894-7795

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Albertville Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Part of

Greg Miller MD

Practitioners 4

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.

• Gary Alan Calhoun, MD

  • Family Medicine Physician
  • Albertville, AL
  • NPI 1083687990
  Medicare reassignment Care Compare group NPD Authorized official
• Paul Morris, MD

  • Family Medicine Physician
  • Albertville, AL
  • NPI 1356081426
  Medicare reassignment Care Compare group NPD
• Chandler Scott Stisher, MD

  • Family Medicine Physician
  • Grant, AL
  • NPI 1619437761
  Medicare reassignment Care Compare group NPD
• Cynthia N Evans, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Albertville, AL
  • NPI 1609806066
  Medicare reassignment NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1326116880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "address_2": "DEPT #1557",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352461557",
            "telephone_number": "256-894-7795",
            "fax_number": "256-894-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 US HWY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "35957",
            "telephone_number": "256-894-7795",
            "fax_number": "256-894-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MEDICAL CENTER SOUTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHALL MEDICAL CENTER SOUTH",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "256-894-7795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "15304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "J340",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albertville Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark L Turk
• Marshall County Pediatrics, PC
• Marshall ENT Hearing AIDS
• Marshall Medical Center South
• Marshall Medical Center South
• Marshall Medical Center South (Tom Payne Radiation Oncologist)
• Marshall Medical Center South (CRNA Professional Services)
• Marshall Medical Center South (Medical Center OBGYN)
• Marshall Medical Center South (South Emergency Physicians)
• Marshall Medical Center South (Masdon ENT Practice)

• Family Medicine Physician in Boaz, AL
• Providers in Boaz, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.