NPIMap

Organization Active NPI

Chatom Primary Care PC

Doing business as Millry Primary Care

  • Rural Health Clinic/Center
  • Millry, AL
National Provider Identifier
1326243270
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CHATOM PRIMARY CARE PC
Doing business as
Millry Primary Care
Practice address
75 5TH Avenue
Millry, AL 36558-0000
Phone
(251) 847-6262
NPI assigned
Jun 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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 S Donald, M.D.NPI 1558339234
Title
Owner
Phone
(251) 847-6262

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
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

75 5TH Avenue
Millry, AL 36558-0000

Mailing address

PO Box 1237
Chatom, AL 36518-1237
Phone (251) 847-6262

Other names 1

  • Millry Primary Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chatom Primary Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

75 5th Ave
Millry, AL 36558
Phone (251) 846-3233

Practitioners & affiliated clinicians

Practitioners 11

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": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326243270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1237",
            "city": "CHATOM",
            "state": "AL",
            "postal_code": "365181237",
            "telephone_number": "251-847-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 5TH AVENUE",
            "city": "MILLRY",
            "state": "AL",
            "postal_code": "365580000",
            "telephone_number": "251-847-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATOM PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONALD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-847-6262",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millry Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millry, 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.