Cullman Primary Care, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CULLMAN PRIMARY CARE, PC

Practice address

1800 Al Highway 157 Ste 101
Cullman, AL 35058-1273

Phone

(256) 739-4131

Fax

(256) 739-6027

NPI assigned

May 17, 2006

Last updated

Jun 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Connie D Blankenship

Title

Credentialing Coordinator

Phone

(256) 739-0801

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Paul M Gilreath, MD

  • Neurology Physician
  • Tallahassee, FL
  • NPI 1124229117
  NPD
• Ludmilla V. Stevens, MSW,LCSW,PIP

  • Clinical Social Worker
  • Cullman, AL
  • NPI 1669459202
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1598717381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CLARK ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551921",
            "telephone_number": "256-739-0801",
            "fax_number": "256-739-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 AL HIGHWAY 157 STE 101",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350581273",
            "telephone_number": "256-739-4131",
            "fax_number": "256-739-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN PRIMARY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "256-739-0801",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117960",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cullman Pediatrics, Inc. (Downtown Pediatrics)
• Cullman Physical Medicine, P.C.
• Cullman Physical Therapy, LLC
• Cullman Primary Care, PC
• Cullman Primary Care, PC
• Cullman Primary Care, PC
• Cullman Primary Care, PC
• Cullman Psychiatry & Wellness, LLC
• Cullman Radiation Therapy Services, P.C.
• Cullman Regional Anesthesia Services LLC

• Family Medicine Physician in Cullman, AL
• Providers in Cullman, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.