Active NPI
Cherokee Family Healthcare, LLC
- Primary Care Clinic/Center
- Centre, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CHEROKEE FAMILY HEALTHCARE, LLC
- Practice address
- 819 W Main St
Centre, AL 35960-1235 - Phone
- (256) 630-5467
- NPI assigned
- Oct 19, 2022
- Last updated
- Oct 19, 2022
- 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
- Connie L Geimer, CRNP
- Title
- Owner
- Phone
- (256) 630-5467
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
819 W Main St
Centre, AL 35960-1235
Mailing address
PO Box 610
Centre, AL 35960-0610
Phone (256) 630-5467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1750008801. Details of each certification follow.
Rural health clinic certification: CCN 018977
- Legal name
- CHEROKEE FAMILY HEALTHCARE LLC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Aug 13, 2024
- Last certification
- Aug 13, 2024
- Ownership / control type
- 1B
- Organization structure
- LLC
- Enrollment address
- 819 W Main St
Ste a
Centre, AL 35960-1235
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 |
|---|---|---|---|
| 01D2271639 | Cherokee Family Healthcare | Certificate of waiver | Nov 3, 2026 |
National Provider Directory
National Provider DirectoryLocations
819 W Main St
Centre, AL 35960
Phone (256) 266-1021
819 W Main St
#A
Centre, AL 35960
Phone (256) 266-1021
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BIDJCD
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Connie L Geimer | 5% Or Greater Direct Ownership Interest | Nov 1, 2022 | 100% |
| Corporate Officer | Nov 1, 2022 | 100% | |
| W-2 Managing Employee | Nov 1, 2022 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Nurse Practitioner
- Piedmont, AL
- NPI 1659667095
5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee
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.
-
- Nurse Practitioner
- Piedmont, AL
- NPI 1659667095
-
- Psychiatric/Mental Health Nurse Practitioner
- Centre, AL
- NPI 1780223982
-
- Family Medicine Physician
- Centre, AL
- NPI 1538184635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666137600000",
"number": "1750008801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 610",
"city": "CENTRE",
"state": "AL",
"postal_code": "359600610",
"telephone_number": "256-630-5467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 W MAIN ST",
"city": "CENTRE",
"state": "AL",
"postal_code": "359601235",
"telephone_number": "256-630-5467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEROKEE FAMILY HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A",
"authorized_official_last_name": "GEIMER",
"authorized_official_first_name": "CONNIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-630-5467",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centre, AL
- Cherokee County Health Dept VFC Immun
- Cherokee County Physicians, LLC
- Cherokee Emergency Medical Services Inc
- Cherokee Eye Clinic Co, Inc
- Cherokee Eye Clinic, P.C.
- Cherokee Pain Management LLC
- Cherokee Pain Management, LLC
- Clinical Urology Associates, P.C.
- Heather Elise Combs, FNP-C
- April Hellums Connell, CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.