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SHALOM FAMILY PRACTICE AND MEDICAL SPA LLC.
NPI 1154020667
Family Medicine in Huntsville, AL

Active since February 23, 2023
333 WHITESPORT DR SW STE 304, HUNTSVILLE, AL 35801(256) 469-0350(256) 291-3611 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2023, Mar 11, 2023, Feb 23, 2023 (3 updates tracked since 2023).

About Shalom Family Practice And Medical Spa Llc. NPPES

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

SHALOM FAMILY PRACTICE AND MEDICAL SPA LLC. (NPI 1154020667) is a healthcare organization registered as a family medicine in Huntsville, Alabama and active in the NPI registry since February 2023. The organization lists Ibukunoluwa Pickens, Owner/d.o., as its authorized official.

NPPES Registry Identity

NPI1154020667
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHALOM FAMILY PRACTICE AND MEDICAL SPA LLC.
Location Address333 WHITESPORT DR SW STE 304Huntsville, AL 35801-3455
Mailing Address333 Whitesport Dr Sw Ste 304Huntsville, AL 35801-3455 · (256) 469-0350 · Fax (256) 291-3611
Phone(256) 469-0350
Fax(256) 291-3611
Organization SubpartNo
Authorized OfficialIbukunoluwa PickensOwner/d.o. · (256) 469-0350
Enumeration DateFebruary 23, 2023
Last NPPES UpdateApril 11, 20233 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1154020667 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.
333 WHITESPORT DR SW STE 304, Huntsville, AL 35801
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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 2

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

IBUKUNOLUWA OLUWAPELUMI KUSIMO DO
Family Medicine
333 WHITESPORT DR SW STE 304
HUNTSVILLE, AL 35801
Madison County (256) 469-0350
ALABAMA INSTITUTE OF MOOD AND MEMORY LLC
Psychiatry & Neurology (Psychiatry)
333 WHITESPORT DR SW STE 304
HUNTSVILLE, AL 35801
Madison County (256) 246-9952

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 Shalom Family Practice And Medical Spa LLC.'s NPI number?

The NPI number for Shalom Family Practice And Medical Spa LLC. is 1154020667. It was assigned to this organization in the NPPES registry on February 23, 2023.

Where is Shalom Family Practice And Medical Spa LLC. located?

Shalom Family Practice And Medical Spa LLC. is located at 333 Whitesport Dr SW Ste 304, Huntsville, AL 35801. The listed phone number is (256) 469-0350.

What is Shalom Family Practice And Medical Spa 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 Shalom Family Practice And Medical Spa LLC. was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.