Active NPI
Henagar Family Medicine, L.L.C.
- Family Medicine Physician
- Henagar, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HENAGAR FAMILY MEDICINE, L.L.C.
- Practice address
- 18324 Alabama Highway 75
Henagar, AL 35978 - Phone
- (256) 657-1101
- Fax
- (256) 657-1115
- NPI assigned
- Oct 4, 2006
- Last updated
- Jun 11, 2014
- 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
- Dr. Anthony Sims, M.D.
- Title
- Owner
- Phone
- (256) 657-1101
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
18324 Alabama Highway 75
Henagar, AL 35978
Mailing address
P.O. Box 518
Henagar, AL 35978
Phone (256) 657-1101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051522432 | Medicaid | AL |
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 |
|---|---|---|---|
| 01D1026403 | Henagar Family Medicine | Certificate of waiver | Jun 3, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Henagar, AL
- NPI 1992786636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402444800000",
"number": "1740375732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 518",
"city": "HENAGAR",
"state": "AL",
"postal_code": "35978",
"telephone_number": "256-657-1101",
"fax_number": "256-657-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18324 ALABAMA HIGHWAY 75",
"city": "HENAGAR",
"state": "AL",
"postal_code": "35978",
"telephone_number": "256-657-1101",
"fax_number": "256-657-1115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENAGAR FAMILY MEDICINE, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2014-06-11",
"status": "A",
"authorized_official_last_name": "SIMS",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-657-1101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051522432",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henagar, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.