Organization Active NPI

Degraaff Enterprises LLC

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1619481538
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19931 Issued in AL
Legal business name
DEGRAAFF ENTERPRISES LLC
Practice address
4245 Balmoral Dr SW Ste 202
Huntsville, AL 35801-6497
Phone
(256) 882-6555
Fax
(256) 882-2844
NPI assigned
Nov 30, 2017
Last updated
Nov 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Authorized official

Name
Chris Hutton
Title
Cfo
Phone
(256) 882-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 19931 AL Primary

Addresses

Primary practice location

4245 Balmoral Dr SW Ste 202
Huntsville, AL 35801-6497

Mailing address

4245 Balmoral Dr SW Ste 202
Huntsville, AL 35801-6497
Phone (256) 882-6555

National Provider Directory

National Provider Directory

Locations

115 Queensbury Dr SW
Huntsville, AL 35802
Phone (256) 880-0222

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": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1619481538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 BALMORAL DR SW STE 202",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016497",
            "telephone_number": "256-882-6555",
            "fax_number": "256-882-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 BALMORAL DR SW STE 202",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016497",
            "telephone_number": "256-882-6555",
            "fax_number": "256-882-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEGRAAFF ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-882-6555"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "19931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.