NPIMap

Organization Active NPI

Thomasville Regional Medical Associates LLC

Doing business as Thomasville Regional Primary Care

  • Family Medicine Physician
  • Thomasville, AL
National Provider Identifier
1922624980
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THOMASVILLE REGIONAL MEDICAL ASSOCIATES LLC
Doing business as
Thomasville Regional Primary Care
Practice address
300 Med Park Dr
Thomasville, AL 36784-5760
Phone
(334) 636-2525
Fax
(334) 621-7111
NPI assigned
Jun 24, 2020
Last updated
Mar 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Breanna Brickner
Title
Controller
Phone
(205) 903-2392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

300 Med Park Dr
Thomasville, AL 36784-5760

Mailing address

300 Med Park Dr
Thomasville, AL 36784-5760
Phone (334) 636-2525

Other names 1

  • THOMASVILLE REGIONAL PRIMARY CARE Doing business as

National Provider Directory

National Provider Directory

Locations

300 Med Park Dr
Ste A
Thomasville, AL 36784
Phone (334) 636-1840

300 Med Park Dr
Ste D
Thomasville, AL 36784
Phone (334) 636-2525

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": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1922624980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MED PARK DR",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367845760",
            "telephone_number": "334-636-2525",
            "fax_number": "334-621-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MED PARK DR",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367845760",
            "telephone_number": "334-636-2525",
            "fax_number": "334-621-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASVILLE REGIONAL MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "BRICKNER",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "205-903-2392"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THOMASVILLE REGIONAL PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THOMASVILLE REGIONAL PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.