Organization Active NPI

Abc Family Medicine Inc

  • Family Medicine Physician
  • Hanceville, AL
National Provider Identifier
1508338278
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ABC FAMILY MEDICINE INC
Practice address
24 County Road 262
Hanceville, AL 35077-3415
Phone
(256) 781-0718
NPI assigned
Dec 19, 2018
Last updated
Nov 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Julia Renae Jones, NPNPI 1558819128
Title
Owner
Phone
(256) 781-0718

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

24 County Road 262
Hanceville, AL 35077-3415

Mailing address

24 County Road 262
Hanceville, AL 35077-3415
Phone (256) 781-0718

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190604000678 AL Part B Supplier - Clinic/Group Practice 0446583694 Receives reassigned benefits from 3 practitioners
Practice locations: Hanceville, 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
01D2160187Abc Family Medicine Inc24 County Road 262, Hanceville, AL 35077Certificate of waiverJan 6, 2027

National Provider Directory

National Provider Directory

Locations

24 County Road 262
Hanceville, AL 35077
Phone (256) 287-2345

Practitioners & affiliated clinicians

Practitioners 5

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": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1508338278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COUNTY ROAD 262",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350773415",
            "telephone_number": "256-781-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 COUNTY ROAD 262",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350773415",
            "telephone_number": "256-781-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-781-0718",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanceville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.