NPIMap

Organization Active NPI

Physicians Care of Clarke

  • Federally Qualified Health Center (FQHC)
  • Grove Hill, AL
National Provider Identifier
1811664287
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PHYSICIANS CARE OF CLARKE
Practice address
127 Clark St
Grove Hill, AL 36451-3050
Phone
(251) 275-1268
NPI assigned
Aug 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Farrell A Turner
Title
Ceo
Phone
(256) 201-0095

Specialties & licenses 1

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

Addresses

Primary practice location

127 Clark St
Grove Hill, AL 36451-3050

Mailing address

24B Camden Byp
Camden, AL 36726-1770
Phone (348) 821-9193

Other names 1

  • AKA PHYSICIANS CARE OF GROVE HILL Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210921001942 AL Part B Supplier - Clinic/Group Practice 2961809736 Receives reassigned benefits from 10 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sweet Water, AL; Thomasville, AL; Grove Hill, AL; Fulton, AL; Camden, AL; Butler, AL
O20211012002205 AL Part A Provider - Federally Qualified Health Center (FQHC) 2961809736 Practice locations: Grove Hill, AL

Federally qualified health center certification: CCN 011084

Legal name
PHYSICIANS CARE OF CLARKE
Doing business as
PHYSICIANS CARE OF GROVE HILL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 9, 2021
Last certification
Sep 9, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 20, 2018 in AL
Enrollment address
127 Clark St
Ste C
Grove Hill, AL 36451-3050

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Tax ID family
Aka Fulton Family Medical5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Michael Paul Norris Individual Corporate DirectorBoard Member Apr 20, 2020
Operational/Managerial ControlBoard Member Apr 20, 2020
Doris L Morris Individual Corporate DirectorBoard Member Apr 20, 2020
Operational/Managerial ControlBoard Member Apr 20, 2020
John Riggs Individual Corporate DirectorBoard Member Apr 20, 2020
Operational/Managerial ControlBoard Member Apr 20, 2020
Ricky L Powell Individual Corporate DirectorBoard Member Apr 20, 2020
Operational/Managerial ControlBoard Member Apr 20, 2020
William Robertson Phillippi Individual Corporate DirectorBoard Member Apr 20, 2020
Operational/Managerial ControlBoard Member Apr 20, 2020
Farrell a. Turner Individual Corporate OfficerCeo Apr 20, 2020
W-2 Managing EmployeeCeo Apr 20, 2020
Operational/Managerial ControlCeo Apr 20, 2020
Dwight Dwayne Figgers Individual Corporate DirectorBoard Member Apr 20, 2020
Operational/Managerial ControlBoard Member Apr 20, 2020
Larry Colston Individual Corporate DirectorBoard Membero Apr 20, 2020
Operational/Managerial ControlBoard Member Apr 20, 2020
Sherril B Glass Individual Corporate DirectorBoard Member Apr 20, 2020
Operational/Managerial ControlBoard Member Apr 20, 2020
Steven Brent Megginson Individual Corporate DirectorBoard Member Apr 20, 2020
Operational/Managerial ControlBoard Member Apr 20, 2020

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1811664287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24B CAMDEN BYP",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367261770",
            "telephone_number": "348-821-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CLARK ST",
            "city": "GROVE HILL",
            "state": "AL",
            "postal_code": "364513050",
            "telephone_number": "251-275-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CARE OF CLARKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "FARRELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-201-0095"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AKA PHYSICIANS CARE OF GROVE HILL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grove Hill, AL

Sources for this page

Verify at the official NPI Registry.