Organization Active NPI

Florence Family Practice

  • Family Medicine Physician
  • Florence, AL
National Provider Identifier
1871832642
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FLORENCE FAMILY PRACTICE
Practice address
122 E Tennessee St
Florence, AL 35630-5655
Phone
(256) 764-9830
Fax
(256) 764-9832
NPI assigned
Feb 13, 2013
Last updated
Feb 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Chris A Barnes
Title
Business Manager
Phone
(256) 404-8968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

122 E Tennessee St
Florence, AL 35630-5655

Mailing address

122 E Tennessee St
Florence, AL 35630-5655
Phone (256) 764-9830

Other identifiers 5

IdentifierTypeStateIssuer
106524MedicaidAL
4496846OtherALAETNA
1902852387OtherALCIGNA
51595427OtherBCBS OF ALABAMA
631053058008OtherTRICARE

National Provider Directory

National Provider Directory

Locations

122 E Tennessee St
Florence, AL 35630
Phone (256) 404-8969

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1871832642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E TENNESSEE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305655",
            "telephone_number": "256-764-9830",
            "fax_number": "256-764-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E TENNESSEE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305655",
            "telephone_number": "256-764-9830",
            "fax_number": "256-764-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "256-404-8968"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106524",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4496846",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1902852387",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51595427",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "631053058008",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.