Organization Active NPI

Family Practice Center of Abbeville,P.a.

  • Family Medicine Physician
  • Abbeville, AL
National Provider Identifier
1891846044
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-90 Issued in AL
Legal business name
FAMILY PRACTICE CENTER OF ABBEVILLE,P.A.
Practice address
217 Dothan Rd
Abbeville, AL 36310-2836
Phone
(334) 585-6421
Fax
(334) 585-6159
NPI assigned
Jan 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Bernice Murry Massey
Title
Office Manager
Phone
(334) 585-6421

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO-89 AL
Family Medicine Physician 207Q00000X DO-90 AL Primary

Addresses

Primary practice location

217 Dothan Rd
Abbeville, AL 36310-2836

Mailing address

217 Dothan Rd
Abbeville, AL 36310-2836
Phone (334) 585-6421

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060111001054 AL Part B Supplier - Clinic/Group Practice 8022031400 Receives reassigned benefits from 2 practitioners
Practice locations: Abbeville, AL

National Provider Directory

National Provider Directory
Tax ID family
Family Practice Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891846044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 DOTHAN RD",
            "city": "ABBEVILLE",
            "state": "AL",
            "postal_code": "363102836",
            "telephone_number": "334-585-6421",
            "fax_number": "334-585-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 DOTHAN RD",
            "city": "ABBEVILLE",
            "state": "AL",
            "postal_code": "363102836",
            "telephone_number": "334-585-6421",
            "fax_number": "334-585-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE CENTER OF ABBEVILLE,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_middle_name": "MURRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-585-6421",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO-89",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO-90",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.