HERITAGE FAMILY MEDICINE
NPI 1114141744
Family Medicine in Madison, AL

Active since April 13, 2007
12205 COUNTY LINE RD, SUITE B, MADISON, AL 35758(256) 990-8446(256) 461-0393 Get Directions Write a Review

NPPES record last updated: December 7, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heritage Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE FAMILY MEDICINE (NPI 1114141744) is a healthcare organization registered as a family medicine in Madison, Alabama and active in the NPI registry since April 2007. The organization lists Anthony G Mancuso, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114141744
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDAWN B MANCUSO, MD, LLC
Location Address12205 COUNTY LINE RD, SUITE BMadison, AL 35758-7719
Mailing AddressPo Box 617Madison, AL 35758-0617 · (256) 990-8446 · Fax (256) 461-0393
Fax(256) 461-0393
Organization SubpartNo
Authorized OfficialAnthony G MancusoCfo · (256) 990-8446
Enumeration DateApril 13, 2007
Last NPPES UpdateDecember 7, 2018
NPI 1114141744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · 00015990
Definition

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.

12205 COUNTY LINE RD, Madison, AL 35758

Other Names 1

Doing Business AsHeritage Family Medicine

Other Identifiers 2

Medicaid529910550AL
Other051506404AL · Mancuso Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
12205 COUNTY LINE RD, SUITE D
MADISON, AL 35758
Dentist (General Practice)
12205 COUNTY LINE RD, SUITE A
MADISON, AL 35758
Dentist (General Practice)
12205 COUNTY LINE RD, SUITE A
MADISON, AL 35758
Nurse Practitioner (Adult Health)
12205 COUNTY LINE RD, SUITE B
MADISON, AL 35758
Chiropractor
12205 COUNTY LINE RD
MADISON, AL 35758
Chiropractor
12205 COUNTY LINE RD, SUITE D
MADISON, AL 35758
Family Medicine
12205 COUNTY LINE RD, SUITE B
MADISON, AL 35758
Family Medicine
12205 COUNTY LINE RD, SUITE B
MADISON, AL 35758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dawn B Mancuso, MD, LLC's NPI number?

The NPI number for Dawn B Mancuso, MD, LLC is 1114141744. It was assigned to this organization in the NPPES registry on April 13, 2007. The provider is doing business as Heritage Family Medicine.

Where is Dawn B Mancuso, MD, LLC located?

Dawn B Mancuso, MD, LLC is located at 12205 County Line Rd Suite B, Madison, AL 35758. The listed phone number is (256) 990-8446.

What is Dawn B Mancuso, MD, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Dawn B Mancuso, MD, LLC was last updated on December 7, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.