Organization Active NPI

Madison Family Health Center, PC

  • Family Medicine Physician
  • Madison, AL
National Provider Identifier
1639358252
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MADISON FAMILY HEALTH CENTER, PC
Practice address
102 Essex CT
Ste C
Madison, AL 35758-3138
Phone
(256) 461-8442
Fax
(256) 461-8447
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. Jitendra A Jain, MDNPI 1003899386
Title
Chairman
Phone
(256) 461-8442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

102 Essex CT
Ste C
Madison, AL 35758-3138

Mailing address

102 Essex CT
Ste C
Madison, AL 35758-3138
Phone (256) 461-8442

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1639358252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ESSEX CT",
            "address_2": "STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583138",
            "telephone_number": "256-461-8442",
            "fax_number": "256-461-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ESSEX CT",
            "address_2": "STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583138",
            "telephone_number": "256-461-8442",
            "fax_number": "256-461-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON FAMILY HEALTH CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "JITENDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "256-461-8442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.