Active NPI
West Limestone Community Care
- Family Medicine Physician
- Elkmont, AL
National Provider Identifier
1699472167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nurse Practitioner
- Elkmont, AL
- NPI 1679787972
-
- Family Nurse Practitioner
- Elkmont, AL
- NPI 1922416312
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.