Organization Active NPI

Orange Beach Family Medicine, PC

  • Family Medicine Physician
  • Orange Beach, AL
National Provider Identifier
1346974060
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ORANGE BEACH FAMILY MEDICINE, PC
Practice address
27121 Canal Rd
Orange Beach, AL 36561-3982
Phone
(731) 415-2020
NPI assigned
Jul 11, 2022
Last updated
Jul 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Ryan Forbess, MDNPI 1508155805
Title
Physician
Phone
(731) 415-2020

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

27121 Canal Rd
Orange Beach, AL 36561-3982

Mailing address

3280 Dauphin St BLDG a
Mobile, AL 36606-4060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220920002838 AL Part B Supplier - Clinic/Group Practice 0840675369 Receives reassigned benefits from 3 practitioners
Practice locations: Orange Beach, AL

National Provider Directory

National Provider Directory

Locations

3280 Dauphin St
Bldg A
Mobile, AL 36606
Phone (251) 450-3700

27121 Canal Rd
Orange Beach, AL 36561
Phone (251) 424-1600

27121 Canal Rd
Ste 101
Orange Beach, AL 36561

Practitioners & affiliated clinicians

Practitioners 3

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": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1346974060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 DAUPHIN ST BLDG A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27121 CANAL RD",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "365613982",
            "telephone_number": "731-415-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE BEACH FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "FORBESS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "731-415-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Beach, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.