Hazel Green Primary Care

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

HAZEL GREEN PRIMARY CARE

Practice address

13596 Highway 231 431 N
Suite 4
Hazel Green, AL 35750-8617

Phone

(256) 829-0610

Fax

(256) 829-1371

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Heather Mason

Title

Director of Physicians Network

Phone

(256) 265-7791

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578645396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13596 HIGHWAY 231 431 N",
            "address_2": "SUITE 4",
            "city": "HAZEL GREEN",
            "state": "AL",
            "postal_code": "357508617",
            "telephone_number": "256-829-0610",
            "fax_number": "256-829-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13596 HIGHWAY 231 431 N",
            "address_2": "SUITE 4",
            "city": "HAZEL GREEN",
            "state": "AL",
            "postal_code": "357508617",
            "telephone_number": "256-829-0610",
            "fax_number": "256-829-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL GREEN PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIANS NETWORK",
        "authorized_official_telephone_number": "256-265-7791"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazel Green Chiropractic, Inc.
• Hazel Green Dental
• Hazel Green Eyes
• Hazel Green Family Practice
• Hazel Green Pediatrics
• Gregory Matthew Headley, NP-C
• Healthcare and Beyond, LLC
• HH Physician Care Hazel Green
• Home Sweet Home Nal LLC
• Alyson Justice, CRNP

• All providers in Hazel Green, AL
• Adult Medicine Physician in Alabama

• 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.