Organization Active NPI

Family Care Associates

  • Primary Care Clinic/Center
  • Montgomery, AL
National Provider Identifier
1770969834
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20151214001445 AL Part B Supplier - Clinic/Group Practice 6608177860 Receives reassigned benefits from 10 practitioners
Practice locations: Montgomery, AL

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
01D2106451Family Care Associates PC1855 Halcyon Blvd, Montgomery, AL 36117Certificate of waiverDec 17, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.