Active NPI
Immediate Care Foley LLC
- Family Medicine Physician
- Foley, AL
National Provider Identifier
1508106592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- IMMEDIATE CARE FOLEY LLC
- Practice address
- 1265 S McKenzie St
Foley, AL 36535-1818 - Phone
- (251) 300-2785
- Fax
- (251) 300-2771
- NPI assigned
- Feb 27, 2013
- 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
- Mr. Barry Porter
- Title
- Business Manager
- Phone
- (251) 300-2785
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1265 S McKenzie St
Foley, AL 36535-1818
Mailing address
PO Box 91747
Mobile, AL 36691-1747
Phone (251) 300-2785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130722000277 | AL | Part B Supplier - Clinic/Group Practice | 9830330695 |
Receives reassigned benefits from 24 practitioners Practice locations: Foley, AL |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- martymcdonald@ics.allscriptsdirect.net
- benjaminmcdonald@ics.allscriptsdirect.net
- thomasinaandersonsharpe@ics.allscriptsdirect.net
- ashleyself@ics.allscriptsdirect.net
- seanomara@ics.allscriptsdirect.net
Practitioners & affiliated clinicians
Practitioners 24
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Mobile, AL
- NPI 1023085669
AL, Family Medicine
-
- Family Medicine Physician
- Spanish Fort, AL
- NPI 1609002500
AL, Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361923200000",
"number": "1508106592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91747",
"city": "MOBILE",
"state": "AL",
"postal_code": "366911747",
"telephone_number": "251-300-2785",
"fax_number": "251-300-2771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 S MCKENZIE ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "365351818",
"telephone_number": "251-300-2785",
"fax_number": "251-300-2771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMMEDIATE CARE FOLEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-27",
"last_updated": "2013-02-27",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "BARRY",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "251-300-2785",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Foley, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.