Organization Active NPI

West Limestone Community Care

  • Family Medicine Physician
  • Elkmont, AL
National Provider Identifier
1699472167
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WEST LIMESTONE COMMUNITY CARE
Practice address
28730 Al 99
Ste a
Elkmont, AL 35620
Phone
(256) 262-6449
Fax
(256) 262-6719
NPI assigned
Feb 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Sebrina B Holt
Title
Executive Director
Phone
(256) 216-9648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

28730 Al 99
Ste a
Elkmont, AL 35620

Mailing address

28730 Al 99
Ste a
Elkmont, AL 35620
Phone (256) 262-6449

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230426002546 AL Part B Supplier - Clinic/Group Practice 3375908387 Receives reassigned benefits from 1 practitioner
Practice locations: Elkmont, AL

National Provider Directory

National Provider Directory

Locations

22335 US Highway 72
Athens, AL 35613
Phone (256) 231-4294

7715 US Highway 72
Athens, AL 35611
Phone (256) 729-9477

28730 AL Highway 99
Ste D
Elkmont, AL 35620
Phone (256) 232-1400

16053 Highway 72
Ste A
Rogersville, AL 35652

Practitioners & affiliated clinicians

Practitioners 3

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": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1699472167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28730 AL 99",
            "address_2": "STE A",
            "city": "ELKMONT",
            "state": "AL",
            "postal_code": "35620",
            "telephone_number": "256-262-6449",
            "fax_number": "256-262-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28730 AL 99",
            "address_2": "STE A",
            "city": "ELKMONT",
            "state": "AL",
            "postal_code": "35620",
            "telephone_number": "256-262-6449",
            "fax_number": "256-262-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LIMESTONE COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "SEBRINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-216-9648"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkmont, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.