NPIMap

Organization Active NPI

Complete Family Care MD PC

  • Legal Medicine
  • Moulton, AL
National Provider Identifier
1457549438
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
00012662 Issued in AL
Legal business name
COMPLETE FAMILY CARE MD PC
Practice address
94 Medical Cir
Moulton, AL 35650-1256
Phone
(256) 974-9216
Fax
(256) 974-8211
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Samuel Nixon Gillespie, M.D.NPI 1184612095
Title
President
Phone
(256) 974-9216

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
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 00012662 AL Primary

Addresses

Primary practice location

94 Medical Cir
Moulton, AL 35650-1256

Mailing address

94 Medical Cir
Moulton, AL 35650-1256
Phone (256) 974-9216

National Provider Directory

National Provider Directory

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": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1457549438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 MEDICAL CIR",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501256",
            "telephone_number": "256-974-9216",
            "fax_number": "256-974-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 MEDICAL CIR",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501256",
            "telephone_number": "256-974-9216",
            "fax_number": "256-974-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FAMILY CARE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "NIXON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-974-9216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "AL",
            "license": "00012662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moulton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.