Organization Active NPI

Amy Makemson MD PC

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1982920641
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21181 Issued in AL
Legal business name
AMY MAKEMSON MD PC
Practice address
250 Chateau Dr SW
Ste. 210
Huntsville, AL 35801-6436
Phone
(256) 880-4690
Fax
(256) 880-4691
NPI assigned
Apr 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Dr. Amy Makemson, M.D.NPI 1790768976
Title
M.D./President
Phone
(256) 880-4690

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 21181 AL Primary

Addresses

Primary practice location

250 Chateau Dr SW
Ste. 210
Huntsville, AL 35801-6436

Mailing address

250 Chateau Dr SW
Ste. 210
Huntsville, AL 35801-6436
Phone (256) 880-4690

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100427000026 AL Part B Supplier - Clinic/Group Practice 2466589387 Receives reassigned benefits from 1 practitioner
Practice locations: Huntsville, 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
01D1020421Amy Makemson MD PC250 Chateau Drive Suite 210, Huntsville, AL 35801Certificate of waiverDec 17, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1982920641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CHATEAU DR SW",
            "address_2": "STE. 210",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016436",
            "telephone_number": "256-880-4690",
            "fax_number": "256-880-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CHATEAU DR SW",
            "address_2": "STE. 210",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016436",
            "telephone_number": "256-880-4690",
            "fax_number": "256-880-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY MAKEMSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "MAKEMSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "M.D./PRESIDENT",
        "authorized_official_telephone_number": "256-880-4690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "21181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.