DOCTORS MED CARE OF JACKSONVILLE, P.C. NPI 1326079922

Family Medicine in Jacksonville, AL

NPI 1326079922 Organization Family Medicine CLIA Number 01D1045512 CLIA Certificate of Compliance

About DOCTORS MED CARE OF JACKSONVILLE, P.C.

Doctors Med Care Of Jacksonville, P.c. is a primary care provider established in Jacksonville, Alabama specializing in family medicine. The NPI number of Doctors Med Care Of Jacksonville, P.c. is 1326079922 and was assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Doctors Med Care Of Jacksonville, P.c. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Akil Taher (Secretary)

A primary care provider (PCP) like Doctors Med Care Of Jacksonville, P.c. 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

The CLIA number of Doctors Med Care Of Jacksonville, P.c. is 01D1045512 registered as a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Doctors Med Care Of Jacksonville, P.c. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI

1326079922

Provider NameDOCTORS MED CARE OF JACKSONVILLE, P.C.
Provider Location Address1505 PELHAM RD S STE 2 JACKSONVILLE, AL 36265
Provider Mailing Address1505 PELHAM RD S STE 2 JACKSONVILLE, AL 36265
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-05-2006
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionFamily 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.

Business Address

DOCTORS MED CARE OF JACKSONVILLE, P.C.
1505 PELHAM RD S
STE 2
JACKSONVILLE, AL
ZIP 36265
Phone: (256) 435-7300
Fax: (256) 435-7305

Get Directions


Mailing Address

DOCTORS MED CARE OF JACKSONVILLE, P.C.
1505 PELHAM RD S
STE 2
JACKSONVILLE, AL
ZIP 36265
Phone: (256) 435-7300
Fax: (256) 435-7305



Authorized Official

Authorized Official NameDR. AKIL TAHER
Authorized Official TitleSECRETARY
Authorized Official Phone(256) 435-7300

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 the NPI number 1326079922 is:

CLIA Number01D1045512
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Compliance

Group Taxonomy


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

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164526711 JUDA CARTER CRNP
Individual
Nurse Practitioner (Family)1505 PELHAM RD S STE 2
JACKSONVILLE, AL 36265
(256) 435-7300
1871894162 SALISIA SHUNTA VALENTINE NP
Individual
Nurse Practitioner (Family)1505 PELHAM RD S SUITE 2
JACKSONVILLE, AL 36265
(256) 435-7300
1174074918 WHITNEY GRIMES
Individual
Nurse Practitioner (Family)1505 PELHAM RD S SUITE 2
JACKSONVILLE, AL 36265
(256) 435-7300

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.