Active NPI
Three Notch Medical Center, PC
- Family Medicine Physician
- Andalusia, AL
National Provider Identifier
1942226220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- THREE NOTCH MEDICAL CENTER, PC
- Practice address
- 835 S Three Notch St
Andalusia, AL 36420-5321 - Phone
- (334) 222-8421
- Fax
- (338) 222-1248
- NPI assigned
- Jul 13, 2006
- Last updated
- Mar 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Lewis
- Title
- Billing
- Phone
- (334) 222-8421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
835 S Three Notch St
Andalusia, AL 36420-5321
Mailing address
835 S Three Notch St
Andalusia, AL 36420-5321
Phone (334) 222-8421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529200490 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0305064 | Three Notch Medical Center | Certificate of waiver | Dec 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
835 S Three Notch St
Andalusia, AL 36420
Phone (205) 222-8421
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Family Medicine Physician
- Andalusia, AL
- NPI 1598384703
-
- Nurse Practitioner
- Andalusia, AL
- NPI 1114433166
-
- Nurse Practitioner
- Andalusia, AL
- NPI 1235652843
-
- Nurse Practitioner
- Andalusia, AL
- NPI 1194747584
-
- Family Nurse Practitioner
- Andalusia, AL
- NPI 1043108335
-
- Family Medicine Physician
- Andalusia, AL
- NPI 1477575868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1942226220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 S THREE NOTCH ST",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364205321",
"telephone_number": "334-222-8421",
"fax_number": "338-222-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 S THREE NOTCH ST",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364205321",
"telephone_number": "334-222-8421",
"fax_number": "338-222-1248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THREE NOTCH MEDICAL CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "334-222-8421"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529200490",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Andalusia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.