D W McMillan Memorial Hospital

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

D W MCMILLAN MEMORIAL HOSPITAL

Doing business as

Castleberry Medical Clinic

Practice address

1674 Cleveland Ave
Castleberry, AL 36432

Phone

(251) 966-3400

Fax

(251) 966-7433

NPI assigned

Jun 5, 2015

Last updated

Jul 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chris Griffin

Title

Administrator

Phone

(251) 809-8398

Specialties & licenses 2

Addresses

Other names 1

• Castleberry Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• D.W. McMillan Memorial Hospital

  dba Flomaton Medical Center

  • Rural Health Clinic/Center
  • Flomaton, AL
  • NPI 1497852735

  O20051228000338

  Same enrollment
• DW McMillan Memorial Hospital

  dba D W McMillan Primary Care

  • General Practice Physician
  • Brewton, AL
  • NPI 1497390447

  O20051228000338

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Escambia County Health Care Authority

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Brewton, AL
  • NPI 1306101639

  Member Of

  NPD member

Locations

Practitioners 2

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.

• Billy Joe Golden Jr., NP

  • Nurse Practitioner
  • Flomaton, AL
  • NPI 1700182755
  NPD
• Audrey C. Guthrie, PA-C

  • Pediatric Adolescent Medicine Physician
  • Brewton, AL
  • NPI 1912988551
  NPD

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1396125258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "CASTLEBERRY",
            "state": "AL",
            "postal_code": "364320397",
            "telephone_number": "251-966-4600",
            "fax_number": "251-966-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 CLEVELAND AVE",
            "city": "CASTLEBERRY",
            "state": "AL",
            "postal_code": "36432",
            "telephone_number": "251-966-3400",
            "fax_number": "251-966-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D W MCMILLAN MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-809-8398"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AL",
            "license": "17245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castleberry Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimani Home Care Services LLC
• Tri County Medical Center, Inc (Castleberry Medical Center)

• Primary Care Clinic/Center in Castleberry, AL
• Providers in Castleberry, AL by specialty
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.