Organization Active NPI

Pickens County Medical Center

Doing business as Carrollton Primary Care Clinic

  • Family Medicine Physician
  • Carrollton, AL
National Provider Identifier
1700986791
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PICKENS COUNTY MEDICAL CENTER
Doing business as
Carrollton Primary Care Clinic
Practice address
184 William E. Hill Dr
Carrollton, AL 35447
Phone
(205) 367-8197
Fax
(205) 367-8198
NPI assigned
Sep 22, 2006
Last updated
Sep 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Kathy P Price
Title
Director of Physician Services
Phone
(205) 367-2405

Specialties & licenses 1

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

Addresses

Primary practice location

184 William E. Hill Dr
Carrollton, AL 35447

Mailing address

PO Box 347
Carrollton, AL 35447-0347
Phone (205) 367-8197

Other names 1

  • Carrollton Primary Care Clinic 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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1700986791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347",
            "city": "CARROLLTON",
            "state": "AL",
            "postal_code": "354470347",
            "telephone_number": "205-367-8197",
            "fax_number": "205-367-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 WILLIAM E. HILL DR",
            "city": "CARROLLTON",
            "state": "AL",
            "postal_code": "35447",
            "telephone_number": "205-367-8197",
            "fax_number": "205-367-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKENS COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "205-367-2405"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrollton Primary Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.