TALLADEGA FAMILY HEALTH CENTER LLC (NPI# 1467741744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467741744 |
| Entity Type | Organization |
| Organization Name | TALLADEGA FAMILY HEALTH CENTER LLC |
| Practice Address |
108 Sanders St Athens AL 35611-2459 |
| Practice Telephone | 2562301116 |
| Practice Fax Number | 2562301156 |
| Mailing Telephone | 2562301116 |
| Mailing Fax Number | 2562301156 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2015-12-04 |
| Authorized Official Name | DR. GEORGE ROBERT STOREY SR. (MANAGER) |
| Authorized Official Telephone | 2562301116 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
15022 | AL | Ambulatory Health Care Facilities |
| Street Address |
108 SANDERS ST |
| City | ATHENS |
| State | AL |
| Zip Code | 35611-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831182567 | Ernest Lee Hendrix | Family Medicine | 108 Sanders St, Athens, AL 35611-2418 | 2005-08-29 |
| 1275148488 | Raece Flynt | Nurse Practitioner | 108 Sanders St, Athens, AL 35611-2459 | 2020-09-14 |
| 1841725884 | Cristen Ann Matlock Hendrix | Nurse Practitioner | 108 Sanders St, Athens, AL 35611-2459 | 2017-04-27 |
| 1629255278 | Primary Care Associates of North Alabama, PC | Pediatrics | 108 Sanders St, Suite B, Athens, AL 35611-2459 | 2008-01-25 |
| 1174728364 | Roberta Ress, C.n.m., P.C. | Advanced Practice Midwife | 108 Sanders St, Athens, AL 35611-2459 | 2007-06-18 |
| 1588732622 | Don E. Heinkel, M.d., P.C. | Family Medicine | 108 Sanders St, Athens, AL 35611-2459 | 2006-11-30 |
| 1669555835 | Ernest L Hendrix Md PC | Family Medicine | 108 Sanders St, Athens, AL 35611-2459 | 2006-10-23 |
| 1235122672 | Bethany Gilbert | Nurse Practitioner | 108 Sanders St, Athens, AL 35611-2418 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1104467901 | Michael S Layman | Hearing Instrument Specialist | 809 Hwy 72 W., Steg, Suite G, Athens, AL 35611 | 2019-10-02 |
| 1508425901 | Courtney Rae Ringrose | Dentist | 1323 Us Highway 72 E, Athens, AL 35611 | 2019-06-10 |
| 1225585391 | Advantage Health Solutions,llc | Family Medicine | 707 West Market St Ste A, Athens, AL 35611 | 2016-09-07 |
| 1306293618 | Brady Aderholt | Nurse Practitioner | 411 N Houston St, Athens, AL 35611 | 2016-05-17 |
| 1891154647 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 700 W. Market Street, Suite 100, Athens, AL 35611 | 2016-02-22 |
| 1790188779 | U Save Pharmacies LLC | Pharmacy | 1285 Hwy 72 E, Athens, AL 35611 | 2014-10-03 |
| 1497176564 | Hometown Pharmacy of Limestone County, LLC | Pharmacy | 100 Highway 31, Suite H, Athens, AL 35611 | 2013-12-17 |
| 1760819015 | William Todd Waggoner | Pharmacist | 104 Highway 31 North, Athens, AL 35611 | 2013-10-02 |
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| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
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| 1942421920 | Classic City Internal Medicine | Clinic/Center | 385 Hawthorne Ln Ste 200, Athens, GA 30606-2100 | 2007-05-01 |
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| 1356870349 | Trinity Healthcare Services, Inc | Clinic/Center | 5295 Riverchase Dr Apt 805, Phenix City, AL 36867-7511 | 2017-06-05 |
| 1801322748 | Symbol Health Solutions, L.lc. | Clinic/Center | 210 Commerce St, Brewton, AL 36426-2141 | 2017-05-11 |
| 1396279543 | Symbol Health Solutions, L.lc. | Clinic/Center | 22259-a Palmer St, Robertsdale, AL 36567 | 2017-04-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.