Physicians Care of Gadsden LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHYSICIANS CARE OF GADSDEN LLC

Practice address

1024 1St Ave
Gadsden, AL 35901-3544

Phone

(256) 543-7406

Fax

(256) 543-1661

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Frederick Wayne Kelly, MD

Title

President

Phone

(256) 543-7406

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1457536161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 1ST AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013544",
            "telephone_number": "256-543-7406",
            "fax_number": "256-543-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 1ST AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013544",
            "telephone_number": "256-543-7406",
            "fax_number": "256-543-1661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1039 Forrest Ave",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359013539",
            "country_code": "US",
            "telephone_number": "256-543-7406",
            "fax_number": "256-543-7413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIANS CARE OF GADSDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-543-7406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00147324",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristy M Phillips, LCSW
• Lynden Phillips, PHARMD
• Tim A Phillips, PHD, ALA, ED.S, MS
• Phoenix Medical, LLC
• Physical Therapy Services Unlimited,LLC
• Physicians Choice Dialysis of Gadsden LLC
• Alexis Montana Pierce
• Jamie Pierce
• Cindy Celise Pike, CRNP
• Catherine Pileggi, DC

• Family Medicine Physician in Gadsden, AL
• Providers in Gadsden, 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 Sep 19, 2018; 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.