Family Medicine for Your Family PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22070 Issued in AL

Legal business name

FAMILY MEDICINE FOR YOUR FAMILY PC

Practice address

505 Burlington St
Scottsboro, AL 35768-4216

Phone

(256) 259-4100

Fax

(256) 259-4104

NPI assigned

Feb 16, 2007

Last updated

Jul 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark C Cooper, M.D.NPI 1225080849

Title

Owner

Phone

(256) 259-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 3

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.

• Mark C Cooper, M.D.

  • Family Medicine Physician
  • Scottsboro, AL
  • NPI 1225080849
  Medicare reassignment Care Compare group NPD Authorized official
• Jana Marie Jackson, CRNP

  • Family Nurse Practitioner
  • Scottsboro, AL
  • NPI 1528613122
  Medicare reassignment Care Compare group NPD
• Claudette B Wygal, CRNP

  • Family Nurse Practitioner
  • Scottsboro, AL
  • NPI 1083857072
  NPD

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1811031883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BURLINGTON ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684216",
            "telephone_number": "256-259-4100",
            "fax_number": "256-259-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BURLINGTON ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684216",
            "telephone_number": "256-259-4100",
            "fax_number": "256-259-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE FOR YOUR FAMILY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-259-4100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "22070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529925920",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.cooper@fmfyf.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "505 Burlington St",
            "city": "Scottsboro",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357684216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Louise Estes
• Eyecare Associates, Inc.
• Oscar V Fadul, M.D.
• Jessica Fairbanks, COTA/L
• Family First Medicine LLC (Family First Medicine of Scottsboro)
• Brandy Farr
• Fast Pace Medical Clinic PLLC
• Ron Harold Findlay, OTR
• Focus Renewed Counseling, LLC
• Foodland Pharmacy SB LLC (Foodland Pharmacy SB)

• Family Medicine Physician in Scottsboro, AL
• Providers in Scottsboro, 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 Jul 30, 2020; 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.

Verify at the official NPI Registry.