CULLMAN PRIMARY CARE, PC
NPI 1114238243
Family Medicine in Cullman, AL

Q: What is Cullman Primary Care, PC's NPI number?

The NPI number for Cullman Primary Care, PC is 1114238243. It was assigned to this organization in the NPPES registry on June 23, 2010.

Q: What is Cullman Primary Care, PC's specialty?

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

Active since June 23, 2010

408 CLARK ST NE, CULLMAN, AL 35055(256) 734-3202(256) 734-4668 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2023, May 17, 2022, Jun 4, 2019 and 3 more (6 updates tracked since 2018).

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About Cullman Primary Care, Pc NPPES

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

CULLMAN PRIMARY CARE, PC (NPI 1114238243) is a healthcare organization registered as a family medicine in Cullman, Alabama and active in the NPI registry since June 2010. The organization lists Connie Blankenship, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1114238243

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCULLMAN PRIMARY CARE, PC

Location Address408 CLARK ST NECullman, AL 35055

Mailing Address503 Clark St NeCullman, AL 35055-1921 · (256) 739-0801 · Fax (256) 739-0027

Phone(256) 734-3202

Fax(256) 734-4668

Organization SubpartNo

Authorized OfficialConnie BlankenshipCredentialing Coordinator · (256) 739-0801

Enumeration DateJune 23, 2010

Last NPPES UpdateJune 15, 20236 updates tracked since enumeration

NPPES CertifiedJune 15, 2023

✔ NPI 1114238243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

408 CLARK ST NE, Cullman, AL 35055

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Other Identifiers 1

Medicaid529601950AL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

JENNIFER LYNN ANDERSON NP-C

Nurse Practitioner (Family)