NPIMap

Organization Active NPI

Russellville Physician Practices LLC

  • Internal Medicine Physician
  • Russellville, AL
National Provider Identifier
1689956500
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31115 Issued in AL
Legal business name
RUSSELLVILLE PHYSICIAN PRACTICES LLC
Doing business as
North Alabama Internal Medicine
Practice address
15225 Highway 43
Suite B
Russellville, AL 35653-1999
Phone
(256) 331-1449
Fax
(256) 331-5829
NPI assigned
Sep 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Authorized official

Name
Jess N Judy
Title
Vice President
Phone
(615) 372-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 31115 AL Primary

Addresses

Primary practice location

15225 Highway 43
Suite B
Russellville, AL 35653-1999

Mailing address

PO Box 1216
Russellville, AL 35653-1216
Phone (256) 331-1449

Other identifiers 1

IdentifierTypeStateIssuer
132812MedicaidAL

Other names 1

  • North Alabama Internal Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1689956500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1216",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531216",
            "telephone_number": "256-331-1449",
            "fax_number": "256-331-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 HIGHWAY 43",
            "address_2": "SUITE B",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531999",
            "telephone_number": "256-331-1449",
            "fax_number": "256-331-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELLVILLE PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "JESS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-8500"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "31115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132812",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Alabama Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russellville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.