Forrest Ave Medical Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FORREST AVE MEDICAL CLINIC, LLC

Practice address

1016 Forrest Ave
Gadsden, AL 35901-3540

Phone

(256) 549-5002

Fax

(256) 549-5003

NPI assigned

Dec 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Janie T Teschner, MDNPI 1215231170

Title

Owner

Phone

(256) 393-3009

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janie Teresa Teschner, M.D.

  • General Practice Physician
  • Gadsden, AL
  • NPI 1215231170
  NPD (past) Authorized official

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1629549068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 FORREST AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013540",
            "telephone_number": "256-549-5002",
            "fax_number": "256-549-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 FORREST AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013540",
            "telephone_number": "256-549-5002",
            "fax_number": "256-549-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORREST AVE MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "TESCHNER",
        "authorized_official_first_name": "JANIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-393-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127451",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Kay Fleming, CRNA
• Justin Chase Ford, CRNP
• Marsha Carpenter Ford, OTR
• Mary Catherine Fore
• Lisa Diane Foreman, NP
• Johnny Gerald Foster Jr., DMD
• Laura J Foster
• Four Vision Optical
• Shon Frachiseur, P.T.
• Shaday Franklin

• Primary Care Clinic/Center in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.