BOAZ FAMILY MEDICINE, PC
NPI 1790840775
Clinic/Center in Boaz, AL

Active since December 27, 2006
122 N SNEAD ST, BOAZ, AL 35957(256) 840-5800(256) 840-5600 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Boaz Family Medicine, Pc NPPES

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

BOAZ FAMILY MEDICINE, PC (NPI 1790840775) is a healthcare organization registered as a clinic/center in Boaz, Alabama and active in the NPI registry since December 2006. The organization lists Jerry Russell Robinson, Physician, as its authorized official.

NPPES Registry Identity

NPI1790840775
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBOAZ FAMILY MEDICINE, PC
Location Address122 N SNEAD STBoaz, AL 35957-1763
Mailing Address122 N Snead StBoaz, AL 35957-1763 · (256) 840-5800 · Fax (256) 840-5600
Fax(256) 840-5600
Organization SubpartNo
Authorized OfficialJerry Russell RobinsonPhysician · (256) 840-5800
Enumeration DateDecember 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1790840775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in AL · DO287
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
122 N SNEAD ST, Boaz, AL 35957

Other Identifiers 1

Other51504831AL · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 4

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

Family Medicine
122 N SNEAD ST
BOAZ, AL 35957
Nurse Practitioner (Adult Health)
122 N SNEAD ST
BOAZ, AL 35957
Nurse Practitioner (Acute Care)
122 N SNEAD ST
BOAZ, AL 35957
Family Medicine
122 N SNEAD ST
BOAZ, AL 35957

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 Boaz Family Medicine, PC's NPI number?

The NPI number for Boaz Family Medicine, PC is 1790840775. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Boaz Family Medicine, PC located?

Boaz Family Medicine, PC is located at 122 N Snead St, Boaz, AL 35957. The listed phone number is (256) 840-5800.

What is Boaz Family Medicine, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Boaz Family Medicine, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.