Organization Active NPI

Occumed Urgent Care LLC

Doing business as OccuMed Paradigm Health

  • Family Medicine Physician
  • Tuskegee, AL
National Provider Identifier
1649729047
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OCCUMED URGENT CARE LLC
Doing business as
OccuMed Paradigm Health
Practice address
101 Fonville St
Tuskegee, AL 36083-2021
Phone
(334) 300-3064
NPI assigned
Sep 26, 2016
Last updated
Sep 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Andrea Peel
Title
Managing Member
Phone
(334) 819-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

101 Fonville St
Tuskegee, AL 36083-2021

Mailing address

4135 Atlanta Hwy
Montgomery, AL 36109-3022

Other names 1

  • OccuMed Paradigm Health Doing business as

National Provider Directory

National Provider Directory

Locations

101 Fonville St
Tuskegee, AL 36083
Phone (334) 300-3064

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1649729047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 ATLANTA HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361093022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FONVILLE ST",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360832021",
            "telephone_number": "334-300-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUMED URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "PEEL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "334-819-7500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OccuMed Paradigm Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuskegee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.