Organization Active NPI

Adams County Family Practice, P.C.

  • Family Medicine Physician
  • Decatur, IN
National Provider Identifier
1528094950
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADAMS COUNTY FAMILY PRACTICE, P.C.
Practice address
955 High St
Suite 3
Decatur, IN 46733-2326
Phone
(260) 724-2125
Fax
(260) 724-3859
NPI assigned
Jun 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark S Gresla, M.D.
Title
President
Phone
(260) 724-2125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

955 High St
Suite 3
Decatur, IN 46733-2326

Mailing address

955 High St
Suite 3
Decatur, IN 46733-2326
Phone (260) 724-2125

Other names 1

  • ACFP Decatur Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528094950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 HIGH ST",
            "address_2": "SUITE 3",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467332326",
            "telephone_number": "260-724-2125",
            "fax_number": "260-724-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 HIGH ST",
            "address_2": "SUITE 3",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467332326",
            "telephone_number": "260-724-2125",
            "fax_number": "260-724-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS COUNTY FAMILY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRESLA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-724-2125",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACFP Decatur",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Decatur, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.