NPIMap

Organization Active NPI

General Practice, P.C.

  • General Practice Physician
  • Gulf Shores, AL
National Provider Identifier
1649434424
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
DO58 Issued in AL
Legal business name
GENERAL PRACTICE, P.C.
Practice address
3849 Gulf Shores Pkwy
Sunset Plaza Suite 9
Gulf Shores, AL 36542-2856
Phone
(251) 968-2441
Fax
(251) 968-5555
NPI assigned
Jul 11, 2008
Last updated
Apr 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Mrs. Kimberly A Randall
Title
Manager
Phone
(251) 967-5215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X DO58 AL Primary

Addresses

Primary practice location

3849 Gulf Shores Pkwy
Sunset Plaza Suite 9
Gulf Shores, AL 36542-2856

Mailing address

PO Box 2029
Gulf Shores, AL 36547-2029
Phone (251) 968-2441

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1649434424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2029",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365472029",
            "telephone_number": "251-968-2441",
            "fax_number": "251-968-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3849 GULF SHORES PKWY",
            "address_2": "SUNSET PLAZA SUITE 9",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365422856",
            "telephone_number": "251-968-2441",
            "fax_number": "251-968-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "251-967-5215",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "DO58",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Shores, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.