Active NPI
Clinic PC
- Family Medicine Physician
- Toxey, AL
National Provider Identifier
1487819447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22293
- Legal business name
- CLINIC PC
- Practice address
- 16240 Highway 17
Toxey, AL 36921-2489 - Phone
- (251) 843-5949
- Fax
- (251) 843-5969
- NPI assigned
- Jul 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Manning, MD
- Title
- President
- Phone
- (251) 843-5949
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22293 | AL | Primary |
Addresses
Primary practice location
16240 Highway 17
Toxey, AL 36921-2489
Mailing address
PO Box 236
Toxey, AL 36921-0236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081015000464 | AL | Part B Supplier - Clinic/Group Practice | 4587722830 |
Receives reassigned benefits from 3 practitioners Practice locations: Toxey, AL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D1089381 | Clinic PC, the | Certificate of waiver | Sep 15, 2026 |
National Provider Directory
National Provider DirectoryLocations
16240 Highway 17
Toxey, AL 36921
Phone (251) 843-5949
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609891200000",
"number": "1487819447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 236",
"city": "TOXEY",
"state": "AL",
"postal_code": "369210236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16240 HIGHWAY 17",
"city": "TOXEY",
"state": "AL",
"postal_code": "369212489",
"telephone_number": "251-843-5949",
"fax_number": "251-843-5969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-18",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A",
"authorized_official_last_name": "MANNING",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "251-843-5949",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AL",
"license": "22293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toxey, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.