Jmac Med LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

JMAC MED LLC

Doing business as

WILSON DAM CLINIC

Practice address

4951 Wilson Dam Rd
Tuscumbia, AL 35674-9141

Phone

(256) 856-2424

NPI assigned

Jun 2, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy Paul Taylor

Title

Co-Owner

Phone

(256) 856-2424

Specialties & licenses 1

Addresses

Other names 1

• WILSON DAM CLINIC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1527897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527897600000",
    "number": "1457843708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 WILSON DAM RD",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356749141",
            "telephone_number": "256-856-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 WILSON DAM RD",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356749141",
            "telephone_number": "256-856-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMAC MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-02",
        "last_updated": "2018-06-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "256-856-2424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILSON DAM CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Tuscumbia, AL
• Providers in Tuscumbia, AL by specialty
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.