Organization Active NPI

Urgent Care of Fairhope LLC

  • Family Medicine Physician
  • Fairhope, AL
National Provider Identifier
1336800010
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
URGENT CARE OF FAIRHOPE LLC
Practice address
8096 Twin Beech Rd Unit 150
Fairhope, AL 36532-7195
Phone
(251) 278-6795
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
Cammy Lyn Beall, MDNPI 1982684114
Title
Owner
Phone
(251) 377-8811

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

8096 Twin Beech Rd Unit 150
Fairhope, AL 36532-7195

Mailing address

8096 Twin Beech Rd Unit 150
Fairhope, AL 36532-7195
Phone (251) 278-6795

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220607002293 AL Part B Supplier - Clinic/Group Practice 7012395809 Receives reassigned benefits from 6 practitioners
Practice locations: Fairhope, 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
01D2252486Urgent Care of Fairhope, LLC8096 Twin Beech Road, Suite 150, Fairhope, AL 36532ComplianceApr 3, 2027

National Provider Directory

National Provider Directory

Locations

8096 Twin Beech Rd
Unit 150
Fairhope, AL 36532
Phone (251) 278-6795

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24592/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

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": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1336800010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8096 TWIN BEECH RD UNIT 150",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365327195",
            "telephone_number": "251-278-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8096 TWIN BEECH RD UNIT 150",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365327195",
            "telephone_number": "251-278-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE OF FAIRHOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "BEALL",
        "authorized_official_first_name": "CAMMY",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-377-8811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.