Priceville Primary Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRICEVILLE PRIMARY CARE

Practice address

68 Marco Dr
Decatur, AL 35603-5425

Phone

(256) 973-2802

Fax

(256) 686-0178

NPI assigned

Sep 7, 2018

Last updated

Oct 24, 2024By 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

Kelli S Powers

Title

Ceo

Phone

(256) 973-3535

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Julia Brooke Bevis, NP

  • Family Medicine Physician
  • Decatur, AL
  • NPI 1376064121
  Medicare reassignment Care Compare group NPD
• William M Sykes, DO

  • Sports Medicine (Family Medicine) Physician
  • Decatur, AL
  • NPI 1760831028
  Medicare reassignment Care Compare group NPD
• Elizabeth Rhodes Butler, MD

  • Family Medicine Physician
  • Hartselle, AL
  • NPI 1134860968
  Medicare reassignment NPD
• Lee Allen Butler, MD

  • Family Medicine Physician
  • Hartselle, AL
  • NPI 1275273252
  Medicare reassignment NPD
• Dennis Sehgal, MD

  • Hospitalist Physician
  • Decatur, AL
  • NPI 1205351335

  Family Medicine

  Medicare reassignment NPD
• Michael Neel Roberts, MD

  • Internal Medicine Physician
  • Decatur, AL
  • NPI 1578577615
  Medicare reassignment
• Katie Jane Bonar, CRNP

  • Family Medicine Physician
  • Decatur, AL
  • NPI 1083254320
  NPD (past)
• Stephen Paul Daniel, MD

  • Family Medicine Physician
  • Decatur, AL
  • NPI 1922537190
  NPD (past)

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1407339328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 7TH ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013337",
            "telephone_number": "256-973-2802",
            "fax_number": "256-973-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 MARCO DR",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356035425",
            "telephone_number": "256-973-2802",
            "fax_number": "256-686-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRICEVILLE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-973-3535"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "RN1-151783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Price-Denton Endodontics, LLC
• Kristine Capell Price, M.ED., CCC/SLP
• Lane Mathis Price, M.D.
• Stephen Ronald Price
• Priceville Pharmacy LLC
• Shelanda D Pride, ADPR
• Primarily Geriatrics, LLC (Russell T. Barr, M.D.)
• Primepath, P.C.
• Tiffany N Prince, MS
• April Sunshine Priola, PHARMD

• Family Medicine Physician in Decatur, AL
• Providers in Decatur, 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 Oct 24, 2024; 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.