Talladega Family Health Center LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

15022 Issued in AL

Legal business name

TALLADEGA FAMILY HEALTH CENTER LLC

Practice address

108 Sanders St
Athens, AL 35611-2459

Phone

(256) 230-1116

Fax

(256) 230-1156

NPI assigned

Apr 7, 2011

Last updated

Dec 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George Robert Storey Sr., M.D.

Title

Manager

Phone

(256) 230-1116

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1467741744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SANDERS ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112459",
            "telephone_number": "256-230-1116",
            "fax_number": "256-230-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SANDERS ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112459",
            "telephone_number": "256-230-1116",
            "fax_number": "256-230-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLADEGA FAMILY HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "STOREY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "256-230-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AL",
            "license": "15022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riddhi P Sutton, CRNP
• Elisabeth M Swanner
• Gregory Morris Swanner, PHD
• Leigh A Swindell, MS
• Ashley Patrice Tait
• Sara Glenn Tanksley, PHARMD
• Lynda Tapscott, RN
• Julius Tate, PHARMD
• Trevor Lee Tatum
• Kenyatta Taylor

• Health Service Clinic/Center in Athens, AL
• Providers in Athens, AL by specialty
• Health Service Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.