Organization Active NPI

McKinley Family Medicine

  • Family Medicine Physician
  • Ardmore, AL
National Provider Identifier
1972860716
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MCKINLEY FAMILY MEDICINE
Practice address
26642 Main Street
Ardmore, AL 35739-7624
Phone
(256) 423-8744
Fax
(256) 216-9652
NPI assigned
Apr 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
James R Comer
Title
Cfo/Coo
Phone
(256) 233-9172

Specialties & licenses 1

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

Addresses

Primary practice location

26642 Main Street
Ardmore, AL 35739-7624

Mailing address

26642 Main St
Ardmore, AL 35739-7624
Phone (256) 423-8744

Other names 1

  • Athens Limestone Health Service Other name

National Provider Directory

National Provider Directory

Locations

26734 Main St
Ardmore, AL 35739
Phone (256) 423-8744

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1972860716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26642 MAIN ST",
            "city": "ARDMORE",
            "state": "AL",
            "postal_code": "357397624",
            "telephone_number": "256-423-8744",
            "fax_number": "256-216-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26642 MAIN STREET",
            "city": "ARDMORE",
            "state": "AL",
            "postal_code": "357397624",
            "telephone_number": "256-423-8744",
            "fax_number": "256-216-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINLEY FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "COMER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO/COO",
        "authorized_official_telephone_number": "256-233-9172"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athens Limestone Health Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ardmore, AL

Sources for this page

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