Ashland Family Practice LLC
Organization Active NPI Family Medicine Physician · Ashland, AL
NPI 1902835655 · NPPES record last updated Feb 12, 2024
Key facts
- NPI
- 1902835655
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9297 (AL)
- Legal business name
- ASHLAND FAMILY PRACTICE LLC
- Practice address
- 83745 Highway 9
Ashland, AL 36251 - Phone
- (256) 354-4139
- Fax
- (256) 354-4137
- NPI assigned
- Jul 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Charles David Hensleigh, M.D.
- Title
- Physician/Owner
- Phone
- (256) 354-4139
Practitioners 2
-
Brandi Alyse Crawford, CRNP
-
Charles David Hensleigh, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D1054101 | Ashland Family Practice | Compliance | Nov 1, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060503000374 | AL | Part B Supplier - Clinic/Group Practice | 4284644303 |
Receives reassigned benefits from 2 practitioners Practice locations: Ashland, AL |
National Provider Directory
Locations
83745 Highway 9
Ste 1
Ashland, AL 36251
Phone (256) 354-4139
83745 Highway 9
Ashland, AL 36251
Phone (256) 354-4139
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 9297 | AL | Yes |
Addresses
Primary practice location
83745 Highway 9
Ashland, AL 36251
Mailing address
PO Box 67
Ashland, AL 36251-0067
Phone (256) 354-4139
Other providers in Ashland, AL
- Emily Aldredge
- Abigail Reynolds Alvarez
- Rita T Anderson
- Ashland Clinic Inc
- Ashland Family Care
- Ashland Pharmacy, Inc.
- Vicky Ann Barlow
- George Lemuel Beale
- Boyce a Callahan DC
- Caitlyn Caffee
All providers in Ashland, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.