Active NPI
American Family Care, LLC
- Primary Care Clinic/Center
- Birmingham, AL
National Provider Identifier
1598771990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- AMERICAN FAMILY CARE, LLC
- Practice address
- 1652 Montclair Rd
Birmingham, AL 35210-2410 - Phone
- (205) 956-9192
- Fax
- (205) 956-3630
- NPI assigned
- Jul 31, 2006
- Last updated
- Apr 24, 2024
- Organization subpart
- Yes
- Parent organization
- AMERICAN FAMILY CARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Randy A Johansen
- Title
- President
- Phone
- (205) 421-2102
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary | |
| Urgent Care Clinic/Center | 261QU0200X | NU | ||
| General Practice Physician | 208D00000X | NU |
Addresses
Primary practice location
1652 Montclair Rd
Birmingham, AL 35210-2410
Mailing address
3700 Cahaba Beach Rd
Birmingham, AL 35242-5225
Phone (205) 403-8902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529202590 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031229000157 | AL | Part B Supplier - Clinic/Group Practice | 9739087818 |
Receives reassigned benefits from 704 practitioners This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0301003 | American Family Care - Montclair | Certificate of waiver | Aug 29, 2026 |
National Provider Directory
National Provider Directory- Part of
- Amer Famcare Med CT Montg
Locations
2147 Riverchase Office Rd
Hoover, AL 35244
Phone (205) 403-8902
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Acute Care Nurse Practitioner
- Madison, AL
- NPI 1144766163
-
- Nurse Practitioner
- Centreville, AL
- NPI 1114499803
-
- Family Nurse Practitioner
- Brewton, AL
- NPI 1902399702
-
- Family Nurse Practitioner
- Victorville, CA
- NPI 1295470581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713916800000",
"number": "1598771990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 CAHABA BEACH RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425225",
"telephone_number": "205-403-8902",
"fax_number": "205-421-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1652 MONTCLAIR RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352102410",
"telephone_number": "205-956-9192",
"fax_number": "205-956-3630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN FAMILY CARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMERICAN FAMILY CARE, LLC",
"enumeration_date": "2006-07-31",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A",
"authorized_official_last_name": "JOHANSEN",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-421-2102",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529202590",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
- American Current Care, P.a., P.C.
- American Family Care LLC
- American Family Care, LLC
- American Family Care, LLC
- American Family Care, LLC
- American Family Care, LLC
- American Family Care, LLC (American Familycare)
- American Health Imaging of Alabama LLC (American Health Imaging 3T of Brookwood)
- American Health Imaging of Alabama LLC (American Health Imaging of Birmingham LLC)
- American Health Research Institute, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.