NPIMap

Organization Active NPI

Advantage Health Solutions,LLC

Doing business as Mission Square Medical

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1891242962
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25786 Issued in AL
Legal business name
ADVANTAGE HEALTH SOLUTIONS,LLC
Doing business as
Mission Square Medical
Practice address
4820 University Dr Ste 35
Huntsville, AL 35816
Phone
(256) 721-9444
Fax
(256) 721-0069
NPI assigned
Sep 7, 2016
Last updated
Sep 7, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANTAGE HEALTH SOLUTIONS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Dr. Francene Gayle, MDNPI 1922080415
Title
Owner
Phone
(256) 655-1491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25786 AL Primary

Addresses

Primary practice location

4820 University Dr Ste 35
Huntsville, AL 35816

Mailing address

4820 University Dr Ste 18
Huntsville, AL 35816
Phone (256) 429-9441

Other names 1

  • Mission Square Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advantage Health Solutionsllc4 organizations share this tax ID, including this one
Part of
Advantage Health Solutionsllc

Other organizations with this tax ID 3

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

Locations

4820 University Dr NW
Ste 18
Huntsville, AL 35816
Phone (256) 429-9441

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1891242962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 UNIVERSITY DR STE 18",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35816",
            "telephone_number": "256-429-9441",
            "fax_number": "256-721-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 UNIVERSITY DR STE 35",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35816",
            "telephone_number": "256-721-9444",
            "fax_number": "256-721-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HEALTH SOLUTIONS,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANTAGE HEALTH SOLUTIONS, LLC",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "FRANCENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-655-1491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "25786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Square Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.