Organization Active NPI

Essex Family Health Care PC

  • Primary Care Clinic/Center
  • Madison, AL
National Provider Identifier
1457033649
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ESSEX FAMILY HEALTH CARE PC
Practice address
102 Essex CT Ste C
Madison, AL 35758-3161
Phone
(256) 461-1765
NPI assigned
Aug 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Dr. Jitendra Jain, MDNPI 1003899386
Title
Ceo
Phone
(256) 461-1765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

102 Essex CT Ste C
Madison, AL 35758-3161

Mailing address

145 Lansdowne Dr
Madison, AL 35758-3604
Phone (256) 461-1765

National Provider Directory

National Provider Directory

Locations

102 Essex Ct
Ste C
Madison, AL 35758
Phone (256) 325-8457

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1457033649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 LANSDOWNE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583604",
            "telephone_number": "256-461-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ESSEX CT STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583161",
            "telephone_number": "256-461-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX FAMILY HEALTH CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-06",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "JITENDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-461-1765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.