Active NPI
Arab Family Healthcare LLC
- Family Medicine Physician
- Guntersville, AL
National Provider Identifier
1790937845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9277
- Legal business name
- ARAB FAMILY HEALTHCARE LLC
- Practice address
- 180 Greystone Pass
Guntersville, AL 35976-4801 - Phone
- (256) 224-9167
- Fax
- (256) 486-9244
- NPI assigned
- Oct 21, 2008
- Last updated
- Jan 3, 2021
- 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
- Robert Wade Hargraves, MD
- Title
- Physician
- Phone
- (256) 224-9167
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9277 | AL | Primary |
Addresses
Primary practice location
180 Greystone Pass
Guntersville, AL 35976-4801
Mailing address
180 Greystone Pass
Guntersville, AL 35976-4801
Phone (256) 224-9167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821048794 | Other | AL | NPI INDIVIDUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
121 Golfview Dr NE
Arab, AL 35016
Phone (256) 931-3531
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.
-
- Family Medicine Physician
- Guntersville, AL
- NPI 1821048794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609632000000",
"number": "1790937845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 GREYSTONE PASS",
"city": "GUNTERSVILLE",
"state": "AL",
"postal_code": "359764801",
"telephone_number": "256-224-9167",
"fax_number": "256-931-0781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 GREYSTONE PASS",
"city": "GUNTERSVILLE",
"state": "AL",
"postal_code": "359764801",
"telephone_number": "256-224-9167",
"fax_number": "256-486-9244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARAB FAMILY HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-21",
"last_updated": "2021-01-03",
"certification_date": "2021-01-03",
"status": "A",
"authorized_official_last_name": "HARGRAVES",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "WADE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "256-224-9167",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AL",
"license": "9277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL",
"identifier": "1821048794",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Guntersville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.