Active NPI
American Family Care LLC
- General Practice Physician
- Mobile, AL
National Provider Identifier
1992724124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- AMERICAN FAMILY CARE LLC
- Practice address
- 900 Montlimar Dr
Mobile, AL 36609 - Phone
- (251) 343-5263
- Fax
- (251) 344-5348
- NPI assigned
- Jul 19, 2006
- 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) 421-2102
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
900 Montlimar Dr
Mobile, AL 36609
Mailing address
2147 Riverchase Office Rd
Birmingham, AL 35244-1836
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 |
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 |
|---|---|---|---|
| 01D0305899 | American Family Care Inc - Festival Centre | Certificate of waiver | Aug 29, 2026 |
National Provider Directory
National Provider Directory- Part of
- American Fam Care
Locations
2604 Highway 31 S
Decatur, AL 35603
Phone (256) 445-3050
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1902388002
-
- Physician Assistant
- Birmingham, AL
- NPI 1407548373
-
- Nurse Practitioner
- Carlisle Barracks, PA
- NPI 1407326812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743033600000",
"number": "1992724124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2147 RIVERCHASE OFFICE RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352441836",
"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": "900 MONTLIMAR DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "36609",
"telephone_number": "251-343-5263",
"fax_number": "251-344-5348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN FAMILY CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMERICAN FAMILY CARE, LLC",
"enumeration_date": "2006-07-19",
"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": "205-421-2102",
"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": "RAILROAD MEDICARE",
"identifier": "CA6570",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, 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.
- 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.