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FAMILY MEDICAL CLINIC LLC
NPI 1710116066
Nurse Practitioner - Family in Russellville, AL

Active since July 08, 2009
1355 GEORGE WALLACE HWY, RUSSELLVILLE, AL 35654(256) 331-9700(256) 331-2615 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Medical Clinic Llc NPPES

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

FAMILY MEDICAL CLINIC LLC (NPI 1710116066) is a healthcare organization registered as a family in Russellville, Alabama and active in the NPI registry since July 2009. The organization lists Michael Potter, Owner, as its authorized official.

NPPES Registry Identity

NPI1710116066
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFAMILY MEDICAL CLINIC LLC
Location Address1355 GEORGE WALLACE HWYRussellville, AL 35654-3281
Mailing Address160 Saylors CvTuscumbia, AL 35674-7700 · (256) 331-9700 · Fax (256) 331-2615
Phone(256) 331-9700
Fax(256) 331-2615
Organization SubpartNo
Authorized OfficialMichael PotterOwner · (256) 331-9700
Enumeration DateJuly 8, 2009
Last NPPES UpdateNovember 24, 2009
✔ NPI 1710116066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-072201
1355 GEORGE WALLACE HWY, Russellville, AL 35654
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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

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 Family Medical Clinic LLC's NPI number?

The NPI number for Family Medical Clinic LLC is 1710116066. It was assigned to this organization in the NPPES registry on July 8, 2009.

Where is Family Medical Clinic LLC located?

Family Medical Clinic LLC is located at 1355 George Wallace Hwy, Russellville, AL 35654. The listed phone number is (256) 331-9700.

What is Family Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Family Medical Clinic LLC was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.