NPIMap

Organization Active NPI

Woodstock Family Medicine, PC

  • Family Medicine Physician
  • Woodstock, AL
National Provider Identifier
1578863213
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20185 Issued in AL
Legal business name
WOODSTOCK FAMILY MEDICINE, PC
Practice address
28921 Highway 5
Woodstock, AL 35188-3613
Phone
(205) 938-9348
NPI assigned
Oct 28, 2010
Last updated
Aug 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Authorized official

Name
Karen Ballard-Montgomery, MDNPI 1699869321
Title
President
Phone
(205) 938-9348

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20185 AL Primary

Addresses

Primary practice location

28921 Highway 5
Woodstock, AL 35188-3613

Mailing address

28921 Highway 5
Woodstock, AL 35188-3613
Phone (205) 938-9348

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": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1578863213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28921 HIGHWAY 5",
            "city": "WOODSTOCK",
            "state": "AL",
            "postal_code": "351883613",
            "telephone_number": "205-938-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28921 HIGHWAY 5",
            "city": "WOODSTOCK",
            "state": "AL",
            "postal_code": "351883613",
            "telephone_number": "205-938-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "BALLARD-MONTGOMERY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-938-9348",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "20185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.