NPIMap

Organization Active NPI

Southeast Alabama Rural Health Associates

Doing business as Newton Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Newton, AL
National Provider Identifier
1780745034
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
Doing business as
Newton Family Health Center
Practice address
193 Oates Dr
Newton, AL 36352-4312
Phone
(334) 299-3592
Fax
(334) 299-3870
NPI assigned
Dec 12, 2006
Last updated
Feb 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
John A Little, MPH
Title
Ceo
Phone
(334) 670-6726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

193 Oates Dr
Newton, AL 36352-4312

Mailing address

1414 Elba Hwy
Troy, AL 36079-6020
Phone (334) 670-6726

Other identifiers 1

IdentifierTypeStateIssuer
630004018MedicaidAL

Other names 1

  • Newton Family Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040526001591 AL Part B Supplier - Clinic/Group Practice 8123009057 Receives reassigned benefits from 32 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Troy, AL; Slocomb, AL; Newton, AL; Geneva, AL; Eufaula, AL; Enterprise, AL; Dothan, AL; Clayton, AL…
O20100916001003 WI Part A Provider - Federally Qualified Health Center (FQHC) 4880726850 Practice locations: Newton, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780745034. Details of each certification follow.

Federally qualified health center certification: CCN 011840

Legal name
SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
Doing business as
NEWTON FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 1, 1993
Last certification
Apr 1, 1993
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 16, 1984 in AL
Enrollment address
193 Oates Dr
Newton, AL 36352-4312

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
01D0674491Newton Family Health Center193 Oates Drive, Newton, AL 36352Certificate of waiverAug 5, 2026

National Provider Directory

National Provider Directory
Tax ID family
Southeastwomens HLTH Ctr10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

105 E Watts St
Enterprise, AL 36330
Phone (334) 393-5437

1412 Elba Hwy
Troy, AL 36079
Phone (334) 288-0814

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Oveta Carey Individual Corporate Director Jun 22, 2021
Cynthia Pearson Individual Corporate Director Jun 23, 2010
Hank Strother Individual Corporate Director Jun 22, 2021
Regina Tolbert Individual Corporate Director Jun 22, 2021
Lisa Harris Individual Corporate Director Jun 22, 2021
Leticia Andrews Individual Corporate Director Jan 23, 2008
Joe Dalton Individual Corporate Director Jan 23, 2008
Pamylon Bowers Individual Corporate Director May 18, 2020
W-2 Managing Employee May 18, 2020
Jack Worthington Individual Corporate Director Jun 22, 2021

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1780745034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 ELBA HWY",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360796020",
            "telephone_number": "334-670-6726",
            "fax_number": "334-670-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 OATES DR",
            "city": "NEWTON",
            "state": "AL",
            "postal_code": "363524312",
            "telephone_number": "334-299-3592",
            "fax_number": "334-299-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-670-6726",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630004018",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newton Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Newton Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, AL

Sources for this page

Verify at the official NPI Registry.