NPIMap

Organization Active NPI

Family First Medicine LLC

  • Family Medicine Physician
  • Scottsboro, AL
National Provider Identifier
1780192765
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY FIRST MEDICINE LLC
Practice address
1601 Veterans Drive
Scottsboro, AL 35769
Phone
(256) 638-9161
NPI assigned
Jan 12, 2018
Organization subpart
Yes
Parent organization
FAMILY FIRST MEDICINE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Authorized official

Name
Dedra L Capps, CRNPNPI 1114027513
Title
Owner
Phone
(205) 874-8306

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1601 Veterans Drive
Scottsboro, AL 35769

Mailing address

PO Box 649
Rainsville, AL 35986-0649
Phone (256) 226-7573

Other names 1

  • Family First Medicine of Scottsboro Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family First Medicine LLC2 organizations share this tax ID, including this one
Part of
Family First Medicine LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1780192765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359860649",
            "telephone_number": "256-226-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 VETERANS DRIVE",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "35769",
            "telephone_number": "256-638-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST MEDICINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY FIRST MEDICINE LLC",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "CAPPS",
        "authorized_official_first_name": "DEDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-874-8306",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family First Medicine of Scottsboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.