East Limestone Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EAST LIMESTONE FAMILY MEDICINE

Practice address

15024 E Limestone Rd
Suite F
Harvest, AL 35749-7263

Phone

(256) 233-4886

Fax

(256) 233-4522

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Gary B Tate

Title

Cfo

Phone

(256) 233-9426

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386760973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15024 E LIMESTONE RD",
            "address_2": "SUITE F",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357497263",
            "telephone_number": "256-233-4886",
            "fax_number": "256-233-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15024 E LIMESTONE RD",
            "address_2": "SUITE F",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357497263",
            "telephone_number": "256-233-4886",
            "fax_number": "256-233-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LIMESTONE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-233-9426"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Covenant Family Care
• Holly Crabtree, BCBA
• Cytique T Davis, PHD, MFT
• Jason David Derbort, M.D.
• East Limestone Eye Care, P.C.
• Embracing Change Counseling Services
• Farm Life Family Clinic, PLLC
• Edien Fernandini
• Pamela Power Ferrara, CRNP
• Maija Brenea Ferrell

• All providers in Harvest, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.