Killen Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11228 Issued in AL

Legal business name

KILLEN CLINIC

Practice address

148 J C Mauldin Hwy
Killen, AL 35645-9106

Phone

(256) 757-5353

Fax

(256) 757-9744

NPI assigned

Apr 24, 2007

Last updated

Jun 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David A Hollis, M.D.NPI 1467443424

Title

President

Phone

(256) 757-5353

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 9

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.

• David Alan Hollis, M.D.

  • Family Medicine Physician
  • Killen, AL
  • NPI 1467443424
  Medicare reassignment NPD Authorized official
• Lydia Hodge, APRN,FNP

  • Family Nurse Practitioner
  • Birmingham, AL
  • NPI 1578136701

  Family Medicine

  NPD
• Brittnay K Mitchell, CRNP

  • Family Nurse Practitioner
  • Killen, AL
  • NPI 1366782757
  NPD
• Amanda L Perkins

  • Nurse Practitioner
  • Birmingham, AL
  • NPI 1164230736
  NPD
• Anna Austin Sanders, CRNP

  • Family Nurse Practitioner
  • Beachwood, OH
  • NPI 1679085435
  NPD
• Victoria Casson

  • Adult Health Nurse Practitioner
  • Killen, AL
  • NPI 1164873717
  NPD (past)
• Emmaline Taylor Sartain

  • Family Nurse Practitioner
  • Killen, AL
  • NPI 1437017985
  NPD (past)
• Larry C Stutts, M.D.

  • Obstetrics & Gynecology Physician
  • Sheffield, AL
  • NPI 1063488922
  NPD (past)
• Stuart W Fraley, MD

  • Anesthesiology Physician
  • Greenfield, IN
  • NPI 1104810316
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1891914362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 J C MAULDIN HWY",
            "address_2": "P O BOX 309",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356459106",
            "telephone_number": "256-757-5353",
            "fax_number": "256-757-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 J C MAULDIN HWY",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356459106",
            "telephone_number": "256-757-5353",
            "fax_number": "256-757-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILLEN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-757-5353",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "11228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Henson
• David Alan Hollis, M.D.
• James Todd Chastain, DMD, LLC
• Catherine Marie Job, LPC
• Ashlea Clemons Judson, CRNP
• Killen Ctr Star Rescue
• Killen Drugs Inc (Killen Corner Drugs)
• Killen Pharmacy (Foodland Pharmacy)
• Killen Urgent Care, Inc.
• Kellony Everett Kristof, LMT2720

• Family Medicine Physician in Killen, AL
• Providers in Killen, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.

Verify at the official NPI Registry.