Active NPI
Princess Robinson Humphrey, MD
- Family Medicine Physician
- Gadsden, AL
National Provider Identifier
1487600946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23819
- Practice address
- 1026 Goodyear Ave
Suite 302
Gadsden, AL 35903-1102 - Phone
- (256) 492-7246
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23819 | AL | Primary |
Addresses
Primary practice location
1026 Goodyear Ave
Suite 302
Gadsden, AL 35903-1102
Mailing address
590 Nance Rd
Madison, AL 35757-7924
Phone (256) 772-1766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060228000174 | AL | Practitioner - Family Practice | 3476569500 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23819 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Medcare, Inc. | Current | Accepting new patients | |
| Alabama Mso LLC | Family Medicine | Current | Accepting new patients |
| Cow Creek Band of Umpqua Tribe of Indians | Current | Accepting new patients | |
| Sleep & Pulmonary Care Center, P.C. | Current | Accepting new patients | |
| Health Concepts Group, LLC | Past | Accepting new patients | |
| Whitesburg SNF Operations LLC | Past | Accepting new patients | |
| Soulcare Medical Consultant LLC | Family Medicine | Past | Accepting new patients |
Locations
401 Arnold St NE
Cullman, AL 35055
Phone (256) 739-4409
7583 Wall Triana Hwy
Madison, AL 35757
Phone (256) 830-5777
3751 Sullivan St
Madison, AL 35758
Phone (256) 772-4211
Interoperability endpoints
- princess.humphrey@506989899546628.direct.elationemr.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Madison, AL
- NPI 1821284209
Family Medicine
-
- Pulmonary Disease Physician
- Decatur, AL
- NPI 1346406469
-
- Urgent Care Clinic/Center
- Gadsden, AL
- NPI 1447331285
-
- Federally Qualified Health Center (FQHC)
- Canyonville, OR
- NPI 1134567993
-
- Internal Medicine Physician
- Madison, AL
- NPI 1699786970
-
- Skilled Nursing Facility
- Huntsville, AL
- NPI 1245068030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1487600946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 NANCE RD",
"city": "MADISON",
"state": "AL",
"postal_code": "357577924",
"telephone_number": "256-772-1766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 GOODYEAR AVE",
"address_2": "SUITE 302",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359031102",
"telephone_number": "256-492-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "PRINCESS",
"middle_name": "ROBINSON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "23819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.