Organization Active NPI

Henagar Family Medicine, L.L.C.

  • Family Medicine Physician
  • Henagar, AL
National Provider Identifier
1740375732
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Dr. Anthony Sims, M.D.NPI 1992786636
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
051522432MedicaidAL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1026403Henagar Family Medicine18324 Alabama Highway 75, Henagar, AL 35978Certificate of waiverJun 3, 2028

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.