NPIMap

Organization Active NPI

Primary Medicine Associates, LLC

  • Family Medicine Physician
  • Auburn, AL
National Provider Identifier
1407099286
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY MEDICINE ASSOCIATES, LLC
Practice address
890 N Dean Rd
Suite 500
Auburn, AL 36830-9440
Phone
(334) 821-2708
NPI assigned
Apr 9, 2009
Last updated
May 5, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST ALABAMA MEDICAL DEVELOPMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Authorized official

Name
Mr. Samuel A Price Jr.
Title
Cfo
Phone
(334) 528-1310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

890 N Dean Rd
Suite 500
Auburn, AL 36830-9440

Mailing address

890 N Dean Rd
Suite 500
Auburn, AL 36830-9440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090720000439 AL Part B Supplier - Clinic/Group Practice 7214089432 Receives reassigned benefits from 10 practitioners
Practice locations: Opelika, AL; Smiths Station, AL; Roanoke, AL; Auburn, AL

National Provider Directory

National Provider Directory
Part of
Smiths Station Medical

Member of 1

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

Locations

1171 Gatewood Dr
Ste 102
Auburn, AL 36830
Phone (334) 203-1917

890 N Dean Rd
Ste 500
Auburn, AL 36830
Phone (334) 821-2708

109 Main St
Roanoke, AL 36274
Phone (334) 528-2663

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1407099286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 N DEAN RD",
            "address_2": "SUITE 500",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368309440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 N DEAN RD",
            "address_2": "SUITE 500",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368309440",
            "telephone_number": "334-821-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MEDICINE ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST ALABAMA MEDICAL DEVELOPMENT",
        "enumeration_date": "2009-04-09",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "334-528-1310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.