Active NPI
American Family Care, LLC
- General Practice Physician
- Decatur, AL
National Provider Identifier
1982910089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- AMERICAN FAMILY CARE, LLC
- Practice address
- 2604 Highway 31 S
Decatur, AL 35603-1506 - Phone
- (256) 445-3050
- Fax
- (256) 445-3053
- NPI assigned
- Aug 26, 2010
- Organization subpart
- Yes
- Parent organization
- AMERICAN FAMILY CARE, LLC
Authorized official
NPPES NPI Registry- Name
- Mr. Randy Johansen
- Title
- President
- Phone
- (205) 421-2102
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Huntsville, AL
- NPI 1134432313
-
- Family Nurse Practitioner
- Madison, AL
- NPI 1205254455
-
- Family Medicine Physician
- Robertsdale, AL
- NPI 1437379021
-
- Nurse Practitioner
- Equality, AL
- NPI 1205395282
-
- Nurse Practitioner
- Cropwell, AL
- NPI 1265918163
-
- Family Medicine Physician
- Gardendale, AL
- NPI 1528028875
-
- Family Nurse Practitioner
- Centre, AL
- NPI 1578081097
-
- Family Nurse Practitioner
- Greensboro, AL
- NPI 1386192557
-
- Family Nurse Practitioner
- Courtland, AL
- NPI 1699249078
-
- Family Medicine Physician
- Madison, AL
- NPI 1083623987
-
- Family Nurse Practitioner
- Montgomery, AL
- NPI 1467166744
-
- Family Nurse Practitioner
- Amite, LA
- NPI 1578979852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031229000157 | AL | Part B Supplier - Clinic/Group Practice | 9739087818 |
Receives reassigned benefits from 704 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- American Fam Care
Locations
7559 Highway 72 W
Madison, AL 35758
Phone (256) 414-0488
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
NPPES NPI RegistryPrimary practice location
2604 Highway 31 S
Decatur, AL 35603-1506
Mailing address
3700 Cahaba Beach Rd
Birmingham, AL 35242-5225
Phone (205) 403-8902
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| C417 | Other | AL | BCBS COMMON IDENTIFIER |
Other names 1
NPPES NPI Registry- American Family Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2025.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743033600000",
"number": "1982910089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 CAHABA BEACH RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425225",
"telephone_number": "205-403-8902",
"fax_number": "205-421-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 HIGHWAY 31 S",
"city": "DECATUR",
"state": "AL",
"postal_code": "356031506",
"telephone_number": "256-445-3050",
"fax_number": "256-445-3053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN FAMILY CARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMERICAN FAMILY CARE, LLC",
"enumeration_date": "2010-08-26",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A",
"authorized_official_last_name": "JOHANSEN",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-421-2102",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS COMMON IDENTIFIER",
"identifier": "C417",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "American Family Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "American Family Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.