NPIMap

Organization Active NPI

PFCC, LLC

  • Family Medicine Physician
  • Spanish Fort, AL
National Provider Identifier
1649960873
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PFCC, LLC
Practice address
32128 Broken Branch Cir
Spanish Fort, AL 36527-6000
Phone
(251) 626-6757
Fax
(251) 626-6758
NPI assigned
May 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Chad Lee Lambeth
Title
Owner
Phone
(251) 626-6757

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

32128 Broken Branch Cir
Spanish Fort, AL 36527-6000

Mailing address

32128 Broken Branch Cir
Spanish Fort, AL 36527-6000
Phone (251) 626-6757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231110000328 AL Part B Supplier - Clinic/Group Practice 5698122745 Receives reassigned benefits from 7 practitioners
Practice locations: Daphne, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2284951PFCC, LLC32128 Broken Branch Cir, Spanish Fort, AL 36527Certificate of waiverJun 29, 2027

National Provider Directory

National Provider Directory

Locations

32128 Broken Branch Cir
Spanish Fort, AL 36527
Phone (251) 626-6757

Practitioners & affiliated clinicians

Practitioners 7

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": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1649960873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32128 BROKEN BRANCH CIR",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365276000",
            "telephone_number": "251-626-6757",
            "fax_number": "251-626-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32128 BROKEN BRANCH CIR",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365276000",
            "telephone_number": "251-626-6757",
            "fax_number": "251-626-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PFCC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "LAMBETH",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-626-6757"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.