NPIMap

Organization Active NPI

Whitesburg Family Medicine

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1568620060
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27081 Issued in AL
Legal business name
WHITESBURG FAMILY MEDICINE
Practice address
4800 Whitesport Cir SW Ste 1
Ste. 201
Huntsville, AL 35801-6444
Phone
(256) 327-0888
Fax
(256) 327-0891
NPI assigned
May 30, 2008
Last updated
Jan 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Authorized official

Name
Dr. Elisa J Haley, MDNPI 1114092830
Title
President
Phone
(256) 327-0888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 27081 AL Primary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 27651 AL

Addresses

Primary practice location

4800 Whitesport Cir SW Ste 1
Ste. 201
Huntsville, AL 35801-6444

Mailing address

4800 Whitesport Cir SW Ste 1
Ste. 201
Huntsville, AL 35801-6444
Phone (256) 327-0888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1568620060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 WHITESPORT CIR SW STE 1",
            "address_2": "STE. 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016444",
            "telephone_number": "256-327-0888",
            "fax_number": "256-327-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 WHITESPORT CIR SW STE 1",
            "address_2": "STE. 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016444",
            "telephone_number": "256-327-0888",
            "fax_number": "256-327-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITESBURG FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-327-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "27081",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "27651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.