Organization Active NPI

Temple Medical Clinic, PC

  • Clinic/Center
  • Alexander City, AL
National Provider Identifier
1477629434
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TEMPLE MEDICAL CLINIC, PC
Practice address
859 Airport Drive
Alexander City, AL 35010-3443
Phone
(256) 234-4295
Fax
(256) 329-1024
NPI assigned
Nov 28, 2006
Last updated
Nov 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Authorized official

Name
Dr. James Pitts Temple, M.D.
Title
President
Phone
(256) 234-4295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

859 Airport Drive
Alexander City, AL 35010-3443

Mailing address

859 Airport Drive
Alexander City, AL 35010-3443
Phone (256) 234-4295

Other identifiers 2

IdentifierTypeStateIssuer
529703750MedicaidAL
CG2343OtherALMEDICARE TRAVELERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051129000613 AL Part B Supplier - Clinic/Group Practice 3971523457 Receives reassigned benefits from 3 practitioners
Practice locations: Alexander City, AL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0665573Temple Medical Clinic PC859 Airport Drive, Alexander City, AL 35010Certificate of waiverMay 12, 2028

National Provider Directory

National Provider Directory

Locations

1120 Airport Dr
Ste 102
Alexander City, AL 35010
Phone (256) 212-9300

859 Airport Dr
Alexander City, AL 35010
Phone (256) 234-4295

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGGBDA

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1477629434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 AIRPORT DRIVE",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103443",
            "telephone_number": "256-234-4295",
            "fax_number": "256-329-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 AIRPORT DRIVE",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103443",
            "telephone_number": "256-234-4295",
            "fax_number": "256-329-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE MEDICAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "TEMPLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PITTS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-234-4295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529703750",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS",
            "identifier": "CG2343",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.