Organization Active NPI

Athena Complete Care LLC

  • Family Medicine Physician
  • Athens, AL
National Provider Identifier
1487704540
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18295 Issued in AL
Legal business name
ATHENA COMPLETE CARE LLC
Practice address
727 W Market St
Suite 5
Athens, AL 35611-2456
Phone
(256) 262-4970
Fax
(256) 262-4971
NPI assigned
Jan 11, 2007
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Mrs. Ashley Bailey Pool, CRNP
Title
Owner
Phone
(256) 262-4970

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-087387 AL
Family Medicine Physician 207Q00000X 18295 AL Primary

Addresses

Primary practice location

727 W Market St
Suite 5
Athens, AL 35611-2456

Mailing address

PO Box 66
Tanner, AL 35671-0066

National Provider Directory

National Provider Directory

Locations

727 W Market St
#5
Athens, AL 35611

727 W Market St
Ste 5
Athens, AL 35611
Phone (256) 216-9730

7715 US Highway 72
Athens, AL 35611
Phone (256) 729-9477

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14721/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1487704540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "TANNER",
            "state": "AL",
            "postal_code": "356710066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 W MARKET ST",
            "address_2": "SUITE 5",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112456",
            "telephone_number": "256-262-4970",
            "fax_number": "256-262-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA COMPLETE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "BAILEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-262-4970",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-087387",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "18295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.