Selma/Dallas County Family Practice, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1429 Issued in AL

Legal business name

SELMA/DALLAS COUNTY FAMILY PRACTICE, INC

Doing business as

valley grande primary care

Practice address

7169 Al Highway 22 N
Valley Grande, AL 36701-9309

Phone

(337) 875-7800

Fax

(337) 875-0707

NPI assigned

Oct 6, 2006

Reactivated

Mar 23, 2012

Last updated

Mar 30, 2012By 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

Dr. Donald C Overstreet

Title

Board President

Phone

(334) 875-7800

Specialties & licenses 1

Addresses

Other names 1

• valley grande primary care Doing business as

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1932296423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7169 AL HIGHWAY 22 N",
            "city": "VALLEY GRANDE",
            "state": "AL",
            "postal_code": "367019309",
            "telephone_number": "337-875-7800",
            "fax_number": "337-875-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7169 AL HIGHWAY 22 N",
            "city": "VALLEY GRANDE",
            "state": "AL",
            "postal_code": "367019309",
            "telephone_number": "337-875-7800",
            "fax_number": "337-875-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELMA/DALLAS COUNTY FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-03-30",
        "deactivation_date": "2011-02-01",
        "reactivation_date": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "OVERSTREET",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "334-875-7800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "valley grande primary care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda Sanders McCary, LCSW
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• Ramona Peters, NP
• Martha Pilcher, LPC

• Family Medicine Physician in Valley Grande, AL
• Providers in Valley Grande, 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 Mar 30, 2012; 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.