Decatur Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DECATUR FAMILY MEDICINE PC

Practice address

1215 7TH Street SE
Suite 110
Decatur, AL 35601-3381

Phone

(256) 306-1655

Fax

(256) 306-1601

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Michelle Drake Radcliff

Title

Office Manager

Phone

(256) 584-8211

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Wayne Harbin, MD

  • Family Medicine Physician
  • Decatur, AL
  • NPI 1396813002
  Medicare reassignment NPD
• Mary Rivers, FNP-C

  • Family Nurse Practitioner
  • Moulton, AL
  • NPI 1578319356
  Medicare reassignment

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1982805149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 7TH STREET SE",
            "address_2": "SUITE 110",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013381",
            "telephone_number": "256-306-1655",
            "fax_number": "256-306-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 7TH STREET SE",
            "address_2": "SUITE 110",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013381",
            "telephone_number": "256-306-1655",
            "fax_number": "256-306-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "RADCLIFF",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "DRAKE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-584-8211"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529902310",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Decatur Eye Institute
• Decatur Eye Institute
• Decatur Eye Insutitute
• Decatur Family Dentistry, PC
• Decatur Family Eye Care LLC
• Decatur Family Pharmacy
• Decatur Gastroenterology Associates PC
• Decatur General Hospital
• Decatur General Hospital
• Decatur General Hospital

• Family Medicine Physician in Decatur, AL
• Providers in Decatur, 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 Nov 20, 2009; 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.