NPIMap

Organization Active NPI

Med Care LLC

  • Clinic/Center
  • Fort Payne, AL
National Provider Identifier
1528467388
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MED CARE LLC
Practice address
2605 Gault Ave N
Suite 200
Fort Payne, AL 35967-3751
Phone
(256) 451-1250
Fax
(256) 451-1270
NPI assigned
Aug 18, 2014
Last updated
Aug 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Muhammad E Ata, MDNPI 1023112307
Title
Owner
Phone
(256) 451-1250

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2605 Gault Ave N
Suite 200
Fort Payne, AL 35967-3751

Mailing address

PO Box 246
Pisgah, AL 35765-0246
Phone (256) 451-1250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150910002074 AL Part B Supplier - Clinic/Group Practice 9739496530 Receives reassigned benefits from 7 practitioners
Practice locations: Fort Payne, AL; Scottsboro, AL

National Provider Directory

National Provider Directory

Locations

205 Grand Ave NW
Fort Payne, AL 35967
Phone (256) 979-1515

506 Harley St
Ste D
Scottsboro, AL 35768
Phone (256) 259-1232

Practitioners & affiliated clinicians

Practitioners 8

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": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1528467388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "PISGAH",
            "state": "AL",
            "postal_code": "357650246",
            "telephone_number": "256-451-1250",
            "fax_number": "256-451-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 GAULT AVE N",
            "address_2": "SUITE 200",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359673751",
            "telephone_number": "256-451-1250",
            "fax_number": "256-451-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "ATA",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-451-1250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.

Verify at the official NPI Registry.