Active NPI
Harkemac, LLC
Doing business as Moundville Primary Care Associates
- Family Medicine Physician
- Moundville, AL
National Provider Identifier
1861174880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HARKEMAC, LLC
- Doing business as
- Moundville Primary Care Associates
- Practice address
- 16063 Highway 69 S
Moundville, AL 35474-6209 - Phone
- (205) 371-2267
- Fax
- (205) 371-2901
- NPI assigned
- Aug 1, 2023
- Last updated
- Jan 25, 2024
- 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
- Nicole Jones
- Title
- Billing Manager
- Phone
- (205) 710-6129
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
16063 Highway 69 S
Moundville, AL 35474-6209
Mailing address
PO Box 687
Moundville, AL 35474-0687
Phone (205) 371-2267
Other names 1
- Moundville Primary Care Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2287443 | Moundville Primary Care Associates | Provider-performed microscopy | Aug 14, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
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
- Moundville, AL
- NPI 1922661289
-
- Adult Health Nurse Practitioner
- Moundville, AL
- NPI 1285046110
-
- Family Medicine Physician
- Northport, AL
- NPI 1073049813
-
- Family Medicine Physician
- Northport, AL
- NPI 1982925517
-
- Family Medicine Physician
- Northport, AL
- NPI 1518040005
-
- Family Nurse Practitioner
- Demopolis, AL
- NPI 1881731917
-
- Pharmacotherapy Pharmacist
- Moundville, AL
- NPI 1760472674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706140800000",
"number": "1861174880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 687",
"city": "MOUNDVILLE",
"state": "AL",
"postal_code": "354740687",
"telephone_number": "205-371-2267",
"fax_number": "205-371-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16063 HIGHWAY 69 S",
"city": "MOUNDVILLE",
"state": "AL",
"postal_code": "354746209",
"telephone_number": "205-371-2267",
"fax_number": "205-371-2901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARKEMAC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-01",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "205-710-6129"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Moundville Primary Care Associates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Moundville Primary Care Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Moundville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.