Active NPI
Pri Med Physicians Inc
- Family Medicine Physician
- Wetumpka, AL
National Provider Identifier
1609959261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRI MED PHYSICIANS INC
- Practice address
- 4452 US Highway 231
Wetumpka, AL 36092-3328 - Phone
- (334) 567-8400
- Fax
- (334) 567-8188
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heide Garner Cook
- Title
- Coo
- Phone
- (334) 386-1444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4452 US Highway 231
Wetumpka, AL 36092-3328
Mailing address
8401 Crossland Loop
Montgomery, AL 36117-8485
Phone (334) 386-1420
Other names 1
- Pri Med Wetumpka
National Provider Directory
National Provider DirectoryLocations
8401 Crossland Loop
Montgomery, AL 36117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609959261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 CROSSLAND LOOP",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361178485",
"telephone_number": "334-386-1420",
"fax_number": "334-386-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4452 US HIGHWAY 231",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360923328",
"telephone_number": "334-567-8400",
"fax_number": "334-567-8188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRI MED PHYSICIANS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GARNER COOK",
"authorized_official_first_name": "HEIDE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "334-386-1444"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pri Med Wetumpka",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wetumpka, AL
Sources for this page
- 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.