Organization Active NPI

Gorman'S Medical Services, LLC

  • General Practice Physician
  • Fort Payne, AL
National Provider Identifier
1376870741
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14962 Issued in AL
Legal business name
GORMAN'S MEDICAL SERVICES, LLC
Practice address
907 Grand Avenue SW
Fort Payne, AL 35967
Phone
(256) 845-0428
Fax
(256) 845-0428
NPI assigned
Nov 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Joleen J Gorman, M.D.
Title
Member
Phone
(256) 845-0428

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 14962 AL Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

907 Grand Avenue SW
Fort Payne, AL 35967

Mailing address

907 Grand Avenue SW
Fort Payne, AL 35967
Phone (256) 845-0428

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100212000426 AL Part B Supplier - Clinic/Group Practice 0941344063 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Payne, 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
01D2005247Gorman'S Medical Services LLC907 Grand Avenue SW, Fort Payne, AL 35967Certificate of waiverMar 22, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1376870741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 GRAND AVENUE SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35967",
            "telephone_number": "256-845-0428",
            "fax_number": "256-845-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 GRAND AVENUE SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35967",
            "telephone_number": "256-845-0428",
            "fax_number": "256-845-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORMAN'S MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "JOLEEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "256-845-0428",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AL",
            "license": "14962",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.