NPIMap

Organization Active NPI

McElroy Medical, L.L.C.

Doing business as Complete Family Care

  • Family Medicine Physician
  • Moulton, AL
National Provider Identifier
1356528657
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27509 Issued in AL
Legal business name
MCELROY MEDICAL, L.L.C.
Doing business as
Complete Family Care
Practice address
94 Medical Cir
Moulton, AL 35650-1256
Phone
(256) 974-9216
Fax
(256) 974-8211
NPI assigned
Jan 29, 2008
Last updated
Jan 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Mr. Chad W McElroy, M.D.NPI 1154472355
Title
Sole MBR
Phone
(256) 974-9216

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 27509 AL Primary

Addresses

Primary practice location

94 Medical Cir
Moulton, AL 35650-1256

Mailing address

94 Medical Cir
Moulton, AL 35650-1256
Phone (256) 974-9216

Other names 1

  • COMPLETE FAMILY CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130118000389 AL Part B Supplier - Clinic/Group Practice 5496830044 Receives reassigned benefits from 3 practitioners
Practice locations: Moulton, AL

National Provider Directory

National Provider Directory

Locations

122 Medical Cir
Moulton, AL 35650
Phone (256) 410-3544

94 Medical Cir
Ste D
Moulton, AL 35650
Phone (205) 807-3807

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": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1356528657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 MEDICAL CIR",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501256",
            "telephone_number": "256-974-9216",
            "fax_number": "256-974-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 MEDICAL CIR",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501256",
            "telephone_number": "256-974-9216",
            "fax_number": "256-974-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCELROY MEDICAL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "MCELROY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "256-974-9216",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "27509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPLETE FAMILY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moulton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.