Active NPI
Family Care Associates
- Primary Care Clinic/Center
- Montgomery, AL
National Provider Identifier
1770969834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- FAMILY CARE ASSOCIATES
- Practice address
- 1855 Halcyon Blvd
Montgomery, AL 36117-8044 - Phone
- (334) 549-1847
- NPI assigned
- Jul 30, 2015
- Last updated
- Aug 11, 2023
- 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
- Tiffany Lee Ivey
- Title
- Practice Manager
- Phone
- (334) 549-1847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
1855 Halcyon Blvd
Montgomery, AL 36117-8044
Mailing address
9224 Marston Way
Montgomery, AL 36117-8414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
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 |
|---|---|---|---|
| 01D2106451 | Family Care Associates PC | Certificate of waiver | Dec 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
1855 Halcyon Blvd
Montgomery, AL 36117
Phone (334) 530-6387
Practitioners & affiliated clinicians
Practitioners 10
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
- Montgomery, AL
- NPI 1114991072
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1679864870
-
- Family Nurse Practitioner
- Montgomery, AL
- NPI 1457834475
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1780312496
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1568139459
-
- Adult Health Nurse Practitioner
- Montgomery, AL
- NPI 1760755433
-
- Nurse Practitioner
- Montgomery, AL
- NPI 1508948340
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1154713154
-
- Pain Medicine Physician
- Montgomery, AL
- NPI 1609284751
-
- Nurse Practitioner
- Montgomery, AL
- NPI 1588617666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691712000000",
"number": "1770969834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9224 MARSTON WAY",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361178414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 HALCYON BLVD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361178044",
"telephone_number": "334-549-1847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-30",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A",
"authorized_official_last_name": "IVEY",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "334-549-1847"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.