Organization Active NPI

Central Family Clinic, Inc

  • Family Medicine Physician
  • Florence, AL
National Provider Identifier
1972793263
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTRAL FAMILY CLINIC, INC
Practice address
11348 Highway 20
Florence, AL 35633
Phone
(256) 764-6807
Fax
(256) 764-6809
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Ferrin Bayles, CRNPNPI 1548291271
Title
Owner
Phone
(256) 764-6807

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

11348 Highway 20
Florence, AL 35633

Mailing address

11348 Highway 20
Florence, AL 35633
Phone (256) 764-6807

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071011000371 AL Part B Supplier - Clinic/Group Practice 0244326908 Receives reassigned benefits from 3 practitioners
Practice locations: Florence, 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
01D1070863Central Family Clinic11348 Highway 20, Florence, AL 35633Certificate of waiverJul 10, 2027

National Provider Directory

National Provider Directory

Locations

11348 Highway 20
Florence, AL 35633
Phone (256) 764-6087

Practitioners & affiliated clinicians

Practitioners 3

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1972793263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11348 HIGHWAY 20",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35633",
            "telephone_number": "256-764-6807",
            "fax_number": "256-764-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11348 HIGHWAY 20",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35633",
            "telephone_number": "256-764-6807",
            "fax_number": "256-764-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FAMILY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "BAYLES",
        "authorized_official_first_name": "FERRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-764-6807",
        "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 Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.