NPIMap

Organization Active NPI

Lakeland Physician Practices LLC

Doing business as Lakeland Family Practice

  • Family Medicine Physician
  • Haleyville, AL
National Provider Identifier
1679913784
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAKELAND PHYSICIAN PRACTICES LLC
Doing business as
Lakeland Family Practice
Practice address
42030 Highway 195
Suite D
Haleyville, AL 35565-7054
Phone
(205) 485-7243
NPI assigned
Jul 3, 2013
Last updated
Jul 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Angie Mangum
Title
Senior Director
Phone
(615) 565-1898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

42030 Highway 195
Suite D
Haleyville, AL 35565-7054

Mailing address

PO Box 1085
Haleyville, AL 35565-1085
Phone (205) 485-7243

Other names 1

  • Lakeland Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

22014 Highway 5
Lynn, AL 35575
Phone (205) 485-7113

531 Gandy St NE
Russellville, AL 35653
Phone (205) 485-7280

Practitioners & affiliated clinicians

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1679913784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1085",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355651085",
            "telephone_number": "205-485-7243",
            "fax_number": "205-485-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42030 HIGHWAY 195",
            "address_2": "SUITE D",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657054",
            "telephone_number": "205-485-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "MANGUM",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "615-565-1898"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haleyville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.