Shoals Medical Clinic, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18096 Issued in AL

Legal business name

SHOALS MEDICAL CLINIC, PC

Practice address

1404 E Avalon Ave
Suite B-00
Tuscumbia, AL 35674-1773

Phone

(256) 381-5234

Fax

(256) 381-5232

NPI assigned

Jul 19, 2007

Last updated

Jul 19, 2007By 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

Dr. David Bruce Laughlin, M.D.

Title

President

Phone

(256) 381-5234

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Francis G Gillis, M.D.

  • Family Medicine Physician
  • Sheffield, AL
  • NPI 1730128414
  NPD (past)
• Diane Lee Kelley, CRNP

  • Family Nurse Practitioner
  • Cherokee, AL
  • NPI 1003998873
  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1407056252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 E AVALON AVE",
            "address_2": "SUITE B-00",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741773",
            "telephone_number": "256-381-5234",
            "fax_number": "256-381-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 E AVALON AVE",
            "address_2": "SUITE B-00",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741773",
            "telephone_number": "256-381-5234",
            "fax_number": "256-381-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS MEDICAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "LAUGHLIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-381-5234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "18096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "24815",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Safe Harbor of the Shoals, Inc
• Briley Sage
• Rachel Elise Schutt, DO
• Marie Alemil Sebial, PT
• Carley Sharp
• Shoals Relief Services Inc (Trading Post Discount Drugs)
• Adrienne A. Shuler, MD
• Singing River Surgery Center LLC
• Dennis Sizelove, PH.D.
• Caroline Sockwell, PHARMD

• Family Medicine Physician in Tuscumbia, AL
• Providers in Tuscumbia, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.