NPIMap

Organization Active NPI

Rushforth Family Care LLC

  • Family Medicine Physician
  • Cullman, AL
National Provider Identifier
1730966854
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RUSHFORTH FAMILY CARE LLC
Practice address
1935 Al Highway 157
Suite C
Cullman, AL 35058-1862
Phone
(256) 297-3030
Fax
(256) 297-3301
NPI assigned
Sep 12, 2023
Last updated
May 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Tyler James Rushforth, DONPI 1114436219
Title
Physician Owner
Phone
(801) 660-9367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1935 Al Highway 157
Suite C
Cullman, AL 35058-1862

Mailing address

2019 Austin Dr NE
Cullman, AL 35058-2055
Phone (801) 660-9367

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231109000701 AL Part B Supplier - Clinic/Group Practice 3476900648 Receives reassigned benefits from 3 practitioners
Practice locations: Cullman, AL

National Provider Directory

National Provider Directory

Locations

1935 AL Highway 157
Ste C
Cullman, AL 35058
Phone (256) 297-1504

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1730966854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 AUSTIN DR NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350582055",
            "telephone_number": "801-660-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 AL HIGHWAY 157",
            "address_2": "SUITE C",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350581862",
            "telephone_number": "256-297-3030",
            "fax_number": "256-297-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSHFORTH FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "RUSHFORTH",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "801-660-9367",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.