NPIMap

Organization Active NPI

Advantage Family Care Inc

  • Rural Health Clinic/Center
  • Cullman, AL
National Provider Identifier
1891428595
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ADVANTAGE FAMILY CARE INC
Practice address
1311 2ND Ave SW Ste a
Cullman, AL 35055-5388
Phone
(256) 841-3622
NPI assigned
Jul 8, 2022
Last updated
Mar 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Stephanie Hicks
Title
Controller
Phone
(615) 988-2004

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Clinic/Center 261Q00000X
Rural Health Clinic/Center 261QR1300X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

1311 2ND Ave SW Ste a
Cullman, AL 35055-5388

Mailing address

30 Burton Hills Blvd Ste 175
Nashville, TN 37215-6403
Phone (615) 864-8703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220822000239 AL Part A Provider - Rural Health Clinic 7618103748 Practice locations: Cullman, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891428595. Details of each certification follow.

Rural health clinic certification: CCN 018959

Legal name
ADVANTAGE FAMILY CARE INC
Doing business as
HUNTSVILLE HOSPITAL URGENT CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 2, 2022
Last certification
Dec 2, 2022
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Sep 4, 2013 in AL
Enrollment address
1311 2ND Ave SW
Ste a
Cullman, AL 35055-5388

Other NPIs with the same Medicare PAC ID 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2225421Dba Huntsville Hospital Urgent Care-Cullman1311 2ND Ave SW, Suite a, Cullman, AL 35055Certificate of waiverMay 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Advantage Family Care Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1311 2nd Ave SW
Ste A
Cullman, AL 35055
Phone (256) 841-3622

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Stephanie Hicks Individual Corporate DirectorController Dec 3, 2024
W-2 Managing EmployeeController Dec 3, 2024
Rudy L Blank Individual Corporate DirectorCfo Oct 6, 2017
Kaylan Kirby Individual W-2 Managing EmployeeBilling Manager Oct 6, 2017
Urgent Team Physician Services, LLC Organization, Nashville, TN LLC 5% Or Greater Direct Ownership Interest Jan 5, 2017 100%
Crystal Gibson Individual W-2 Managing EmployeeCredentialing Manager Jun 6, 2022

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1891428595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD STE 175",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156403",
            "telephone_number": "615-864-8703",
            "fax_number": "615-208-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 2ND AVE SW STE A",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555388",
            "telephone_number": "256-841-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE FAMILY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "615-988-2004"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.