Active NPI
Med-Plus Muscle Shoals LLC
- Family Medicine Physician
- Muscle Shoals, AL
National Provider Identifier
1730165705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MED-PLUS MUSCLE SHOALS LLC
- Practice address
- 108 Avalon Ave
Muscle Shoals, AL 35661-2800 - Phone
- (256) 389-9300
- Fax
- (256) 389-9367
- NPI assigned
- Dec 21, 2005
- 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
- Kathy J Teague
- Title
- Secretary
- Phone
- (615) 920-7000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
108 Avalon Ave
Muscle Shoals, AL 35661-2800
Mailing address
108 Avalon Ave
Muscle Shoals, AL 35661-2800
Phone (256) 389-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051129000677 | AL | Part B Supplier - Clinic/Group Practice | 7012937501 |
Receives reassigned benefits from 7 practitioners Practice locations: Muscle Shoals, AL |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
108 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 284-7706
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Florence, AL
- NPI 1386981322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548028800000",
"number": "1730165705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 AVALON AVE",
"city": "MUSCLE SHOALS",
"state": "AL",
"postal_code": "356612800",
"telephone_number": "256-389-9300",
"fax_number": "256-389-9367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 AVALON AVE",
"city": "MUSCLE SHOALS",
"state": "AL",
"postal_code": "356612800",
"telephone_number": "256-389-9300",
"fax_number": "256-389-9367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-PLUS MUSCLE SHOALS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-21",
"last_updated": "2019-01-21",
"status": "A",
"authorized_official_last_name": "TEAGUE",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "615-920-7000"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muscle Shoals, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.