Organization Active NPI

Lamar Family Medicine

  • Family Medicine Physician
  • Vernon, AL
National Provider Identifier
1962130237
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAMAR FAMILY MEDICINE
Practice address
45020 Highway 17
Vernon, AL 35592-5636
Phone
(205) 695-0106
Fax
(205) 395-0502
NPI assigned
Aug 12, 2022
Last updated
Aug 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Katlyn Bryant, NP-C
Title
NP-C
Phone
(205) 695-0106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

45020 Highway 17
Vernon, AL 35592-5636

Mailing address

45020 Highway 17
Vernon, AL 35592-5636
Phone (205) 695-0106

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CRNP Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221114000383 AL Part B Supplier - Clinic/Group Practice 5294102745 Receives reassigned benefits from 3 practitioners
Practice locations: Vernon, AL

National Provider Directory

National Provider Directory

Locations

45020 Highway 17
Vernon, AL 35592
Phone (205) 695-0106

Practitioners & affiliated clinicians

Practitioners 5

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": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1962130237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45020 HIGHWAY 17",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355925636",
            "telephone_number": "205-695-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45020 HIGHWAY 17",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355925636",
            "telephone_number": "205-695-0106",
            "fax_number": "205-395-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMAR FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "KATLYN",
        "authorized_official_title_or_position": "NP-C",
        "authorized_official_telephone_number": "205-695-0106",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CRNP",
            "affiliation": "N",
            "endpointDescription": "FAMILY PRACTICE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FAMILY",
            "address_1": "45020 Highway 17",
            "city": "Vernon",
            "state": "AL",
            "country_code": "US",
            "postal_code": "355925636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vernon, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.