Kevin a Coady Family Practice Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21360 Issued in AL

Legal business name

KEVIN A COADY FAMILY PRACTICE INC

Practice address

461 E Main St
Prattville, AL 36067-3409

Phone

(334) 365-2217

Fax

(334) 361-7975

NPI assigned

Nov 29, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Andrew Coady, MD

Title

President

Phone

(334) 365-2217

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1801879416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680186",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360680186",
            "telephone_number": "334-365-2217",
            "fax_number": "334-361-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 E MAIN ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360673409",
            "telephone_number": "334-365-2217",
            "fax_number": "334-361-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN A COADY FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "COADY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-365-2217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "21360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ALABAMA",
            "identifier": "51521352",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009950405",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Kerion Kay, CRNA
• Payton Kazmier
• Alexandra Audie Kelley
• Jeanette Kelley, BCBA, LBA
• Kendyl Hensley LLC
• Andrew Khong
• Courtney Kidwell
• Laura Killough
• Kim P. Kornegay, DMD
• Latrina King

• Family Medicine Physician in Prattville, AL
• Providers in Prattville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.