St. Florian Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST. FLORIAN CLINIC, INC.

Practice address

3600 County Road 61
Florence, AL 35634

Phone

(256) 740-6674

NPI assigned

Jan 10, 2011

Organization subpart

No

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

Authorized official

Name

Gina Brewer, CRNPNPI 1851330690

Title

Owner

Phone

(256) 740-6674

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina M Brewer, CRNP

  • Nurse Practitioner
  • Florence, AL
  • NPI 1851330690
  Medicare reassignment Care Compare group NPD Authorized official
• Jacqueline Kate McGee Sneed, MD

  • Family Medicine Physician
  • Florence, AL
  • NPI 1730399726
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1346544095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 COUNTY ROAD 61",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 COUNTY ROAD 61",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35634",
            "telephone_number": "256-740-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. FLORIAN CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-740-6674",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Anthony Speyrer II, M.D.
• Brenda Lee Sprague
• SRD Florence, PLLC
• SRD Helton Drive, PLLC
• St Florian Pharmacy Inc
• Gwen Virginia Stackhouse, CRNA
• William Ralph Stackhouse, CRNA
• Ashley Staggs
• Stevie Noel Staggs, RN
• Georgie Stanford, M.D.

• Family Medicine Physician in Florence, AL
• Providers in Florence, 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 Jan 10, 2011; 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.