Organization Active NPI

Shoal'S Family Practice-Urgent Care LLC

  • Family Medicine Physician
  • Muscle Shoals, AL
National Provider Identifier
1922786706
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHOAL'S FAMILY PRACTICE-URGENT CARE LLC
Practice address
1110 E 6TH St Ste D
Muscle Shoals, AL 35661-3957
Phone
(256) 397-8842
Fax
(256) 246-9764
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Tonia M Long, CRNPNPI 1801837729
Title
Owner
Phone
(256) 397-8842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1110 E 6TH St Ste D
Muscle Shoals, AL 35661-3957

Mailing address

1110 E 6TH St Ste D
Muscle Shoals, AL 35661-3957
Phone (256) 397-8842

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230807001585 AL Part B Supplier - Clinic/Group Practice 0547621567 Receives reassigned benefits from 2 practitioners
Practice locations: Muscle Shoals, AL

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
01D2285705Shoal'S Family Practice/Urgent Care, LLC1110 E 6TH Street, Suite D, Muscle Shoals, AL 35661Certificate of waiverJul 16, 2027

National Provider Directory

National Provider Directory

Locations

1110 E 6th St
Muscle Shoals, AL 35661

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1922786706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E 6TH ST STE D",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613957",
            "telephone_number": "256-397-8842",
            "fax_number": "256-246-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E 6TH ST STE D",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613957",
            "telephone_number": "256-397-8842",
            "fax_number": "256-246-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOAL'S FAMILY PRACTICE-URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "TONIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-397-8842",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.