Med MD Plus, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17795 Issued in AL

Legal business name

MED MD PLUS, LLC

Practice address

12 Cropwell Dr
Pell City, AL 35128-7552

Phone

(205) 814-0404

Fax

(205) 814-0407

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Jerry Bruce Hankins, MD

Title

Owner/MD

Phone

(205) 814-0404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1346676632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CROPWELL DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351287552",
            "telephone_number": "205-814-0404",
            "fax_number": "205-814-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CROPWELL DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351287552",
            "telephone_number": "205-814-0404",
            "fax_number": "205-814-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED MD PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "HANKINS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "205-814-0404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AL",
            "license": "17795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Forrest Mayhew, DPT
• William Harvey McClanahan Jr., MD
• Morgan Michaela McCoy, FNP-C
• Amelia McGowan
• Tyler McGrady, DPT
• Medlife Infusion Nursing LLC
• Mid-South Home Health, LLC (Centerwell Home Health)
• Alexandria Mitchell, LMSW
• Cade Mullins, DPT
• National Medicine Center

• General Practice Physician in Pell City, AL
• Providers in Pell City, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.