Active NPI
Amy Makemson MD PC
- Family Medicine Physician
- Huntsville, AL
National Provider Identifier
1982920641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21181
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amy Makemson, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D1020421 | Amy Makemson MD PC | Certificate of waiver | Dec 17, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & 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.