FAMILY MEDICINE OF TUSCALOOSA, LLC
NPI 1104126739
Family Medicine in Tuscaloosa, AL
NPI Status: Active since October 29, 2010
Contact Information
100 TOWNCENTER BLVD
SUITE 300
TUSCALOOSA, AL
ZIP 35406
Phone: (205) 464-4971
Fax: (205) 343-7425
- Organization
- Family Medicine
- CLIA Number: 01D2018405
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-22-2026
About FAMILY MEDICINE OF TUSCALOOSA, LLC
This page provides the complete NPI Profile along with additional information for Family Medicine Of Tuscaloosa, Llc, a primary care provider established in Tuscaloosa, Alabama operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1104126739 assigned on October 2010. The practitioner's primary taxonomy code is 207Q00000X with license number 24343 (AL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Shannon Amman (Manager)
- NPI
- 1104126739
- Provider Name
- FAMILY MEDICINE OF TUSCALOOSA, LLC
- Entity Type
- Organization
- Location Address
- 100 TOWNCENTER BLVD SUITE 300 TUSCALOOSA, AL 35406
- Location Phone
- (205) 464-4971
- Location Fax
- (205) 343-7425
- Mailing Address
- 100 TOWNCENTER BLVD SUITE 300 TUSCALOOSA, AL 35406
- Mailing Phone
- (205) 464-4971
- Mailing Fax
- (205) 343-7425
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-29-2010
- Last Update Date
- 03-07-2012
- Code Navigator
A primary care provider (PCP) like Family Medicine Of Tuscaloosa, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 24343
- License State
- AL
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 01D2018405
- Facility Type
- Physician Office
- Certificate Effective Date
- March 23, 2024
- Certificate Expiration Date
- March 22, 2026
- Laboratory Director
- EDWIN D. CHRISTENSEN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Family Medicine Of Tuscaloosa, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 1 | 2 | 6 | 7 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 2 | 2 | 12 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 2 + 2 + 1 + 2 + 7 + 6 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1104126739 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1205861440 | MS. MARY ELLEN COLE MSN,CRNP Individual | Nurse Practitioner (Adult Health) | 100 TOWNCENTER BLVD SUITE 112 TUSCALOOSA, AL 35406 (205) 750-0030 |
| 1992869903 | MARCUS GARVEY WILSON MD Individual | Internal Medicine (Rheumatology) | 100 TOWNCENTER BLVD SUITE 112 TUSCALOOSA, AL 35406 (205) 750-0030 |
| 1689819799 | AMY LEIGH ATKINS CRNP Individual | Nurse Practitioner | 100 TOWNCENTER BLVD SUITE 112 TUSCALOOSA, AL 35406 (205) 750-0030 |
| 1295061869 | CLARY & JONES LLC Organization | Clinic/Center (Physical Therapy) | 100 TOWNCENTER BLVD SUITE 202 TUSCALOOSA, AL 35406 (205) 464-4700 |
| 1558772012 | TUSCALOOSA PROSTHETICS & ORTHOTICS Organization | Prosthetic/Orthotic Supplier | 100 TOWNCENTER BLVD SUITE 303 TUSCALOOSA, AL 35406 (205) 901-3428 |
| 1538240809 | DR. JENNIFER THOMAS BOLTON M.D. Individual | Obstetrics & Gynecology | 100 TOWNCENTER BLVD STE 201 TUSCALOUSA, AL 35406 (205) 366-9996 |
| 1720215049 | RAY HARVEY MCLAUGHLIN JR. M.D. Individual | Internal Medicine (Rheumatology) | 100 TOWNCENTER BLVD SUITE 112 TUSCALOOSA, AL 35406 (205) 750-0030 |
| 1962517540 | KARIN VIVIAN STRAATON MD Individual | Internal Medicine (Rheumatology) | 100 TOWNCENTER BLVD SUITE 112 TUSCALOOSA, AL 35406 (205) 750-0030 |
| 1306396676 | MR. MITCHELL RYAN CAGLE NP-C Individual | Nurse Practitioner (Family) | 100 TOWNCENTER BLVD TUSCALOOSA, AL 35406 (205) 462-3334 |
| 1023106176 | HOLLY K. FREEMAN CRNP Individual | Nurse Practitioner | 100 TOWNCENTER BLVD STE 300 TUSCALOOSA, AL 35406 (205) 710-3838 |
| 1093300543 | SHANNON BRANTLEY SMITH CRNP Individual | Nurse Practitioner (Family) | 100 TOWNCENTER BLVD TUSCALOOSA, AL 35406 (205) 368-9377 |
| 1598434417 | CAROLINE GRACE GANT CRNP Individual | Nurse Practitioner | 100 TOWNCENTER BLVD TUSCALOOSA, AL 35406 (205) 409-0525 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104126739, enumerated in the NPI registry as an "organization" on October 29, 2010
The provider is located at 100 Towncenter Blvd Suite 300 Tuscaloosa, Al 35406 and the phone number is (205) 464-4971
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider's CLIA number is 01D2018405 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on October 29, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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