AMERICAN FAMILY CARE, INC. (NPI# 1720459134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720459134 |
| Entity Type | Organization |
| Organization Name | AMERICAN FAMILY CARE, INC. |
| Other Organization Name | AMERICAN FAMILY CARE |
| Practice Address |
606 Boll Weevil Cir A Enterprise AL 36330-2734 |
| Mailing Address |
3700 Cahaba Beach Rd Birmingham AL 35242-5225 |
| Practice Telephone | 3344752462 |
| Practice Fax Number | 3344752466 |
| Mailing Telephone | 2054038902 |
| Mailing Fax Number | 2054212109 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-20 |
| Authorized Official Name | RANDY JOHANSEN (PRESIDENT) |
| Authorized Official Telephone | 2054038902 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERICAN FAMILY CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE PTAN# | C417 | 01 |
| Other Name | Type Code |
|---|---|
| American Family Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851822100 | American Family Care, Inc. | Family Medicine | 710 15th Street East, Tuscaloosa, AL 35401-0000 | 2017-03-27 |
| 1700326022 | American Family Care, Inc. | Family Medicine | 30 Holmes Dr, Oxford, AL 36203-2420 | 2017-03-06 |
| 1346608825 | American Family Care, Inc. | General Practice | 101 Paul Stabler Drive, Greenville, AL 36037-0000 | 2016-01-29 |
| 1346605839 | American Family Care, Inc. | Family Medicine | 5911 Harris Ln, Bessemer, AL 35022-7306 | 2015-12-28 |
| 1730587338 | American Family Care, Inc. | General Practice | 366 East Meighan Blvd, Gadsden, AL 35903-0000 | 2014-12-12 |
| 1629470356 | American Family Care, Inc. | General Practice | 1285 Hwy 72 East, Athens, AL 35611-0000 | 2014-09-25 |
| 1295147106 | American Family Care, Inc. | General Practice | 2815 East Blvd, Montgomery, AL 36116-1021 | 2014-05-27 |
| 1912318361 | American Family Care, Inc. | General Practice | 72 Highway 304, Calera, AL 35040-0000 | 2014-05-19 |
| 1316376296 | American Family Care, Inc. | General Practice | 1902 South College Street, Auburn, AL 36830-6615 | 2013-11-01 |
| 1528404613 | American Family Care, Inc. | General Practice | 2445 Murphy Mill Rd, Dothan, AL 36303-1595 | 2013-05-15 |
| Street Address |
606 BOLL WEEVIL CIR A |
| City | ENTERPRISE |
| State | AL |
| Zip Code | 36330-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689001596 | Abby Spitler Olive | Nurse Practitioner | 606 Boll Weevil Cir, Suite A, Enterprise, AL 36330-2734 | 2013-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
| 1134759640 | Benjamin Chase Marler | Student in an Organized Health Care Education/Training Program | 205 Somerset Pl, Enterprise, AL 36330 | 2020-01-23 |
| 1033694492 | Angel Melton | Counselor | 105 Searcy St, Enterprise, AL 36330 | 2018-10-01 |
| 1285180729 | Enterprise Urgent Care | Clinic/Center | 6582 Boll Weevil Circle, Enterprise, AL 36330 | 2016-08-25 |
| 1902204258 | Nikki Chen | Nurse Practitioner | 805 East Lee Street, Ste C, Enterprise, AL 36330 | 2014-12-17 |
| 1568795417 | Crystal Juanita Christian | Counselor | 1275 James Drive, Suite A Enterprise Behavioral Services, Enterprise, AL 36330 | 2009-09-10 |
| 1316173206 | Robert Noback | Preventive Medicine | 301 Dustoff Ave, Ft. Rucker, AL 36330 | 2009-06-05 |
| 1184892978 | Phillip Allen Fuller | Pulmonary Function Technologist | 130e.pondella Dr., Enterprise, AL 36330 | 2008-02-14 |
| 1720266778 | Richard Bauer | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 | 2008-02-01 |
| 1871646547 | Thomas Orson Patterson | Dentist | 306 South Edwards Street, Enterprise, AL 36330 | 2007-01-18 |
| Find all providers in zip 36330 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1497390447 | Dw Mcmillan Memorial Hospital | General Practice | 1311 Mcmillan Ave, Brewton, AL 36426-1324 | 2019-11-14 |
| 1871059212 | Southeast Medical Group LLC | General Practice | 1930 Edwards Lake Rd Ste 138b, Birmingham, AL 35235-3720 | 2019-02-11 |
| 1528561974 | Stephen David Thrasher | General Practice | 2215 California St Se, Huntsville, AL 35801-2706 | 2018-03-12 |
| 1487170031 | Premier Medical Housecall, LLC | General Practice | 173 Cahaba Valley Pkwy, Pelham, AL 35124-1144 | 2017-08-16 |
| 1336662287 | Center Point Medical LLC | General Practice | 151 Woodham Dr, Albertville, AL 35951-3301 | 2017-07-24 |
| 1558898874 | B Vitality Pllc | General Practice | 3425 Colonnade Pkwy Ste C, Birmingham, AL 35243-2356 | 2017-05-17 |
| 1710438502 | Homewood Family Wellcare LLC | General Practice | 1 Independence Plz Ste 410, Homewood, AL 35209-2648 | 2016-10-17 |
| 1750837068 | Michelle R. Grana, Do; PC | General Practice | 470 Providence Main St Nw Ste 302a, Huntsville, AL 35806-4843 | 2016-08-27 |
| 1073964979 | Taurin Pyongkap Lee | General Practice | 2713 Downing St, Huntsville, AL 35801 | 2016-06-22 |
| Find all providers with the same taxonomy | ||||
| City | ENTERPRISE |
| Zip Code | 36330 |
Please comment or provide details below to improve the information on AMERICAN FAMILY CARE, INC..
| 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.