Organization Active NPI

Medical East

  • Family Medicine Physician
  • Athens, AL
National Provider Identifier
1447787528
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL EAST
Practice address
15243 Greenfield Dr
Athens, AL 35613-2899
Phone
(256) 771-0994
Fax
(256) 771-1662
NPI assigned
May 19, 2017
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Sebrina B Holt
Title
Executive Director
Phone
(256) 216-9648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

15243 Greenfield Dr
Athens, AL 35613-2899

Mailing address

15243 Greenfield Dr
Athens, AL 35613-2899
Phone (256) 771-0994

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1447787528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 GREENFIELD DR",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132899",
            "telephone_number": "256-771-0994",
            "fax_number": "256-771-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 GREENFIELD DR",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132899",
            "telephone_number": "256-771-0994",
            "fax_number": "256-771-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "SEBRINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-216-9648"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.