Active NPI
Preventive Care Medicl Group
- Family Medicine Physician
- Talladega, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PREVENTIVE CARE MEDICL GROUP
- Practice address
- 210 North St W
Suite E
Talladega, AL 35160-2083 - Phone
- (256) 362-0066
- Fax
- (256) 362-6700
- NPI assigned
- Oct 8, 2015
- Last updated
- Oct 8, 2015
- 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
- Anthony Lessa, MD
- Title
- Doctor
- Phone
- (256) 362-0066
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 | Primary |
Addresses
Primary practice location
210 North St W
Suite E
Talladega, AL 35160-2083
Mailing address
210 North St W
Suite E
Talladega, AL 35160-2083
Phone (256) 362-0066
National Provider Directory
National Provider Directory- Tax ID family
- Preventive Care Medical Groupllc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Talladega, AL
- NPI 1871847988
Locations
210 North St W
Ste E
Talladega, AL 35160
Phone (256) 362-0066
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.
-
- General Practice Physician
- Talladega, AL
- NPI 1396043881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444262400000",
"number": "1780055319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 NORTH ST W",
"address_2": "SUITE E",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "351602083",
"telephone_number": "256-362-0066",
"fax_number": "256-362-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 NORTH ST W",
"address_2": "SUITE E",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "351602083",
"telephone_number": "256-362-0066",
"fax_number": "256-362-6700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREVENTIVE CARE MEDICL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-08",
"last_updated": "2015-10-08",
"status": "A",
"authorized_official_last_name": "LESSA",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "256-362-0066",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Talladega, AL
- David Pickrell, O.D.
- Julie Pounders
- Premier NP Inc
- Presbyterian Home for Children
- Preventive Care Medical Group,LLC
- Professional Apothecary Inc.
- Professional Apothecary, Inc.
- Quality of Life Health Services, Inc (Maternity Program District VI)
- Quality of Life Health Services, Inc
- Rai Care Centers of Alabama LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.