Active NPI
Dolores Villamor Victoria, MD
- Family Medicine Physician
- Heflin, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11416
- Practice address
- 242 Brockford Road
Heflin, AL 36264-1608 - Phone
- (256) 492-0131
- Fax
- (334) 382-1231
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11416 | AL | Primary |
Addresses
Primary practice location
242 Brockford Road
Heflin, AL 36264-1608
Mailing address
P.O. Box 97
Gadsden, AL 35902-0097
Phone (256) 492-0131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108712 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040818001317 | AL | Practitioner - Family Practice | 6800869660 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Quality of Life Health Services Inc
Practice addresses (Care Compare)
1411 Piedmont Cutoff
Gadsden, AL 35903-2708
Phone (256) 492-0131
268 Brockford Rd
Heflin, AL 36264-1608
Phone (256) 463-2021
64 Giles St
Heflin, AL 36264-1738
Phone (256) 463-2021
Hospital & facility affiliations
- Amedisys Home Health of Anniston
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11416 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Family Care, LLC | Family Medicine | Current | Accepting new patients |
| Quality of Life Health Services, Inc | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| Quality of Life Health Services, Inc | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| Quality of Life Health Services, Inc | Current | Accepting new patients | |
| Quality of Life Health Services Inc | Current | Accepting new patients | |
| Quality of Life Health Services, Inc | Current | Accepting new patients | |
| Lenlock Clinic LLC | Current | Accepting new patients | |
| Quality of Life Health Services Inc | Past | Accepting new patients | |
| Quality of Life Health Services, Inc | Family Medicine | Past | Accepting new patients |
Locations
1316 Noble St
Anniston, AL 36201
Phone (256) 236-0221
1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131
242 Brockford Rd
Heflin, AL 36264
Phone (256) 463-2021
64 Giles St
Heflin, AL 36264
Phone (256) 463-2021
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
7583 Wall Triana Hwy
Madison, AL 35757
Phone (256) 830-5777
20 Hazelwood Dr
Pell City, AL 35125
Phone (205) 338-8008
110 Spring St N
Talladega, AL 35160
Phone (256) 315-1697
Interoperability endpoints
- dvictoria333170@direct.ochin.org
Organizations & group practices 27
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Anniston, AL
- NPI 1013339209
-
- Federally Qualified Health Center (FQHC)
- Heflin, AL
- NPI 1467620989
-
- Community Health Clinic/Center
- Anniston, AL
- NPI 1568412666
-
- Federally Qualified Health Center (FQHC)
- Tuskegee, AL
- NPI 1770929028
-
- Community Health Clinic/Center
- Gadsden, AL
- NPI 1902856214
-
- Pediatrics Physician
- Gadsden, AL
- NPI 1740552785
Family Medicine
-
- Community Health Clinic/Center
- Gadsden, AL
- NPI 1023069416
-
- Federally Qualified Health Center (FQHC)
- Horton, AL
- NPI 1033371562
-
- Community Health Clinic/Center
- Boaz, AL
- NPI 1225089675
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Anniston, AL
- NPI 1245298892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303862400000",
"number": "1992868178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 97",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359020097",
"telephone_number": "256-492-0131",
"fax_number": "256-494-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 BROCKFORD ROAD",
"city": "HEFLIN",
"state": "AL",
"postal_code": "362641608",
"telephone_number": "256-492-0131",
"fax_number": "334-382-1231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICTORIA",
"first_name": "DOLORES",
"middle_name": "VILLAMOR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2011-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "11416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108712",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Heflin, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.