Active NPI
American Family Care, LLC
- General Practice Physician
- Montgomery, AL
National Provider Identifier
1992711303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- AMERICAN FAMILY CARE, LLC
- Practice address
- 2936 Marti Lane
Montgomery, AL 36116 - Phone
- (334) 288-0088
- Fax
- (334) 288-2071
- NPI assigned
- Jul 31, 2006
- Last updated
- Mar 27, 2025
- Organization subpart
- Yes
- Parent organization
- AMERICAN FAMILY CARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Randy A Johansen
- Title
- President
- Phone
- (205) 421-2101
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | ||
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
2936 Marti Lane
Montgomery, AL 36116
Mailing address
2147 Riverchase Office Road
Hoover, AL 35244
Phone (205) 403-8902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA6570 | Other | AL | RAILROAD MEDICARE |
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
- Amer Famcare Med CT Montg
Locations
2936 Marti Ln
Montgomery, AL 36116
Phone (334) 288-0088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743033600000",
"number": "1992711303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2147 RIVERCHASE OFFICE ROAD",
"city": "HOOVER",
"state": "AL",
"postal_code": "35244",
"telephone_number": "205-403-8902",
"fax_number": "205-982-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2936 MARTI LANE",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36116",
"telephone_number": "334-288-0088",
"fax_number": "334-288-2071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN FAMILY CARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMERICAN FAMILY CARE, LLC",
"enumeration_date": "2006-07-31",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A",
"authorized_official_last_name": "JOHANSEN",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-421-2101",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA6570",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, 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.