Active NPI
Community Urgent Care of Madison, Inc
Doing business as Community Urgent Care of Madison
- Family Medicine Physician
- Madison, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COMMUNITY URGENT CARE OF MADISON, INC
- Doing business as
- Community Urgent Care of Madison
- Practice address
- 30694 Highway 72
Suite E
Madison, AL 35756 - Phone
- (256) 230-6130
- NPI assigned
- Sep 28, 2015
- 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
- Mallory K Jones
- Title
- Office Manager
- Phone
- (256) 230-6130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AL | Primary |
Addresses
Primary practice location
30694 Highway 72
Suite E
Madison, AL 35756
Mailing address
30694 US Highway 72 Ste E
Madison, AL 35756-3231
Phone (256) 230-6130
Other names 1
- Community Urgent Care of Madison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Community Urgent Care
- Non-Surgical Family Planning Clinic/Center
- Cullman, AL
- NPI 1881094209
O20150302000290
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2106144 | Community Urgent Care of Madison Inc | Certificate of waiver | Dec 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
3477 Lowery Pkwy
Ste 137
Fultondale, AL 35068
Phone (205) 379-6040
30694 US Highway 72
Ste E
Madison, AL 35756
Phone (256) 230-6130
30694 US Highway 72
Madison, AL 35756
Phone (256) 230-6130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Guntersville, AL
- NPI 1811100985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697155200000",
"number": "1700256252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30694 US HIGHWAY 72 STE E",
"city": "MADISON",
"state": "AL",
"postal_code": "357563231",
"telephone_number": "256-230-6130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30694 HIGHWAY 72",
"address_2": "SUITE E",
"city": "MADISON",
"state": "AL",
"postal_code": "35756",
"telephone_number": "256-230-6130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY URGENT CARE OF MADISON, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-28",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "MALLORY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "256-230-6130"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Urgent Care of Madison",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Community Urgent Care of Madison",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madison, AL
- Jessica Renee Coleman, PTA
- Ciara Collier Thomas, LICSW, LCSW
- Brittany Ann Collier, M.S., BCBA
- Alison Elaine Colvin, M.S., CCC-SLP
- Courtney Lynn Comans
- Compass Physical Therapy, Inc.
- Complete Counseling LLC (Complete Counseling)
- Complete Dental North Madison LLC
- Complete Physical Therapy Spinal Restoration Associates, Inc. (Complete Physical Therapy)
- Christina H Congo, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.