SHOALS MEDICAL CLINIC, PC
NPI 1407056252
Family Medicine in Tuscumbia, AL

NPI Status: Active since July 19, 2007

Contact Information

1404 E AVALON AVE
SUITE B-00
TUSCUMBIA, AL
ZIP 35674
Phone: (256) 381-5234
Fax: (256) 381-5232

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  • Organization
  • Family Medicine

About SHOALS MEDICAL CLINIC, PC

This page provides the complete NPI Profile along with additional information for Shoals Medical Clinic, Pc, a primary care provider established in Tuscumbia, Alabama operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1407056252 assigned on July 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 18096 (AL). The provider is registered as an organization and their NPI record was last updated 18 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 Dr. David Bruce Laughlin M.d. (President)

NPI
1407056252
Provider Name
SHOALS MEDICAL CLINIC, PC
Entity Type
Organization
Location Address
1404 E AVALON AVE SUITE B-00 TUSCUMBIA, AL 35674
Location Phone
(256) 381-5234
Location Fax
(256) 381-5232
Mailing Address
1404 E AVALON AVE SUITE B-00 TUSCUMBIA, AL 35674
Mailing Phone
(256) 381-5234
Mailing Fax
(256) 381-5232
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2007
Last Update Date
07-19-2007
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A primary care provider (PCP) like Shoals Medical Clinic, Pc 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.
18096
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DAVID BRUCE LAUGHLIN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(256) 381-5234

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F86327MEDICARE UPIN (02)AL 
24815OTHER (01)ALBCBS

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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.
1407056252
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24070512210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 0 + 5 + 1 + 2 + 2 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1407056252 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. ELIZABETH R WEATHERFORD M.D.

Radiology

(Diagnostic Radiology)

1404 E AVALON AVE
TUSCUMBIA, AL
ZIP 35674

(256) 381-4400

LISA F GAMBLE CRNP

Nurse Practitioner

(Family)

1404 E AVALON AVE
WING B
TUSCUMBIA, AL
ZIP 35674

(256) 383-4473

MID-SOUTH HOME CARE SERVICES, INC.

Durable Medical Equipment & Medical Supplies

1404 E AVALON AVE
TUSCUMBIA, AL
ZIP 35674

(256) 383-2811

MRS. REEDA NEWTON BREWER CRNP

Nurse Practitioner

(Family)

1404 E AVALON AVE
SUITE B-00
TUSCUMBIA, AL
ZIP 35674

(256) 381-5234

ANITA C. MCDONALD CRNP

Nurse Practitioner

(Family)

1404 E AVALON AVE
WING B
TUSCUMBIA, AL
ZIP 35674

(256) 383-4473

CHIKISHA LARAY FLINT CRNP

Nurse Practitioner

(Acute Care)

1404 E AVALON AVE
WING B
TUSCUMBIA, AL
ZIP 35674

(256) 383-4473

DR. ROGER LEE KENNEDY JR. PHARM.D.

Pharmacist

1404 E AVALON AVE
TUSCUMBIA, AL
ZIP 35674

(256) 389-9800

MRS. ANNA BROOKE BOX CRNP

Nurse Practitioner

(Acute Care)

1404 E AVALON AVE
TUSCUMBIA, AL
ZIP 35674

(256) 981-5507

DR. CARLOS AUGUSTO LIOTTA MD

Family Medicine

(Sports Medicine)

1404 E AVALON AVE
SUITE A
TUSCUMBIA, AL
ZIP 35674

(256) 381-5597

DRAYER PHYSICAL THERAPY-ALABAMA LLC

Physical Therapist

1404 E AVALON AVE
SUITE B2
TUSCUMBIA, AL
ZIP 35674

(717) 220-2100

ERIN MOON POUNDERS DPT

Physical Therapist

1404 E AVALON AVE
SUITE B2
TUSCUMBIA, AL
ZIP 35674

(256) 978-4001

SPECIALTY PHARMACY OF THE SHOALS

Pharmacy

1404 E AVALON AVE
TUSCUMBIA, AL
ZIP 35674

(256) 389-1358

DORENE M MORRIS D.O.

Family Medicine

1404 E AVALON AVE
TUSCUMBIA, AL
ZIP 35674

(256) 381-5507

DR. JAVAR MYATT-JONES M.D.

Family Medicine

1404 E AVALON AVE
TUSCUMBIA, AL
ZIP 35674

(256) 381-5507

G.KNIGHT INC DBA SHOALS PHARMACY

Pharmacy

1404 E AVALON AVE
TUSCUMBIA, AL
ZIP 35674

(256) 389-9800

LHCG XXIX LLC

Hospice Care, Community Based

1404 E AVALON AVE
SUITE C
TUSCUMBIA, AL
ZIP 35674

(256) 314-1204

CRISTEN WIENTJES

Physical Therapy Assistant

1404 E AVALON AVE
TUSCUMBIA, AL
ZIP 35674

(256) 978-4001

CRYSTAL ELAINE MYATT-JONES

Counselor

(Mental Health)

1404 E AVALON AVE
TUSCUMBIA, AL
ZIP 35674

(256) 381-5507

ROY EVAN ANDERSON PTA

Physical Therapy Assistant

1404 E AVALON AVE
TUSCUMBIA, AL
ZIP 35674

(256) 978-4001

SYDNEY TARA LINTON PTA

Physical Therapy Assistant

1404 E AVALON AVE
TUSCUMBIA, AL
ZIP 35674

(256) 978-4001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407056252, enumerated as an "organization" on July 19, 2007.

The provider is located at 1404 E AVALON AVE SUITE B-00 TUSCUMBIA, AL 35674 and the phone number is (256) 381-5234.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.