NPIMap

Organization Active NPI

Innova Primary Care, PC

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1689954240
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INNOVA PRIMARY CARE, PC
Practice address
247 Chateau Dr SW
Huntsville, AL 35801-6401
Phone
(256) 882-1510
Fax
(256) 217-5838
NPI assigned
Aug 26, 2011
Last updated
Jul 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Brooke R Uptagrafft, MDNPI 1194975342
Title
Physician
Phone
(256) 882-1510

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 Physician 207Q00000X Primary

Addresses

Primary practice location

247 Chateau Dr SW
Huntsville, AL 35801-6401

Mailing address

247 Chateau Dr SW
Huntsville, AL 35801-6401
Phone (256) 882-1510

Other practice location 1

145 Research Blvd Ste 100
Madison, AL 35758-2040
Phone (256) 882-1510

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brooke.uptagrafft@innovapc.eclinicaldirectplus.com Innova Primary Care, PC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110926000750 AL Part B Supplier - Clinic/Group Practice 4688845571 Receives reassigned benefits from 23 practitioners
Practice locations: Huntsville, AL; Madison, 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
01D0701919Innova Primary Care PC145 Research Blvd, Madison, AL 35758AccreditationAug 26, 2026
01D2299887Innova Primary Care, PC247 Chateau Drive, Huntsville, AL 35801Provider-performed microscopyFeb 28, 2028

National Provider Directory

National Provider Directory

Locations

247 Chateau Dr SW
Huntsville, AL 35801
Phone (256) 533-9393

145 Research Blvd
Ste 100
Madison, AL 35758
Phone (256) 882-1510

Interoperability endpoints

  • Direct secure messaging: brooke.uptagrafft@innovapc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JFECDA

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1689954240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 CHATEAU DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016401",
            "telephone_number": "256-882-1510",
            "fax_number": "256-217-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 CHATEAU DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016401",
            "telephone_number": "256-882-1510",
            "fax_number": "256-217-5838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Research Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357582040",
            "country_code": "US",
            "telephone_number": "256-882-1510",
            "fax_number": "256-217-5838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNOVA PRIMARY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "UPTAGRAFFT",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "256-882-1510",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brooke.uptagrafft@innovapc.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "TIN level contact",
            "affiliationName": "Innova Primary Care, PC",
            "address_1": "247 Chateau Dr SW",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358016401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.