NPIMap

Organization Active NPI

Specialty Clinic, PC

  • Family Medicine Physician
  • Andalusia, AL
National Provider Identifier
1427263227
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO439 Issued in AL
Legal business name
SPECIALTY CLINIC, PC
Practice address
508 E Three Notch St
Andalusia, AL 36420-3128
Phone
(334) 472-9427
Fax
(334) 222-2183
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Authorized official

Name
Dr. Roger T Boyington, D.O.
Title
Owner, Physician
Phone
(334) 427-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X DO439 AL Primary

Addresses

Primary practice location

508 E Three Notch St
Andalusia, AL 36420-3128

Mailing address

PO Box 310
Andalusia, AL 36420-1205
Phone (334) 472-9427

Other identifiers 2

IdentifierTypeStateIssuer
529901030MedicaidAL
051078763OtherALALABAMA BLUE CROSS

Other names 1

  • Covington Family Care, PC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1427263227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201205",
            "telephone_number": "334-472-9427",
            "fax_number": "334-222-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 E THREE NOTCH ST",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364203128",
            "telephone_number": "334-472-9427",
            "fax_number": "334-222-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "BOYINGTON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "334-427-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529901030",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BLUE CROSS",
            "identifier": "051078763",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covington Family Care, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Andalusia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.