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CANEBRAKE MEDICAL MANAGEMENT
NPI 1821380866
Family Medicine in Demopolis, AL

Active since May 10, 2011
123 E CAPITOL ST, DEMOPOLIS, AL 36732(334) 289-9408 Get Directions Write a Review

NPPES record last updated: October 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Canebrake Medical Management NPPES

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

CANEBRAKE MEDICAL MANAGEMENT (NPI 1821380866) is a healthcare organization registered as a family medicine in Demopolis, Alabama and active in the NPI registry since May 2011. The organization lists Terre M. Moore, Crnp, as its authorized official.

NPPES Registry Identity

NPI1821380866
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCANEBRAKE MEDICAL MANAGEMENT
Location Address123 E CAPITOL STDemopolis, AL 36732-2218
Mailing Address123 E Capitol StDemopolis, AL 36732-2218 · (334) 289-9408
Phone(334) 289-9408
Organization SubpartNo
Authorized OfficialTerre M. MooreCrnp · (334) 289-9408
Enumeration DateMay 10, 2011
Last NPPES UpdateOctober 14, 2011
✔ NPI 1821380866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 11061
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.
123 E CAPITOL ST, Demopolis, AL 36732
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Other Identifiers 2

Medicare PIN102G707926AL
Medicaid129958AL

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

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

CINNAMON TRAVIS CRAMER C.P.N.P.
Nurse Practitioner (Pediatrics)
123 E CAPITOL ST
DEMOPOLIS, AL 36732
Marengo County (334) 289-9408

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 Canebrake Medical Management's NPI number?

The NPI number for Canebrake Medical Management is 1821380866. It was assigned to this organization in the NPPES registry on May 10, 2011.

Where is Canebrake Medical Management located?

Canebrake Medical Management is located at 123 E Capitol St, Demopolis, AL 36732. The listed phone number is (334) 289-9408.

What is Canebrake Medical Management'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 Canebrake Medical Management was last updated on October 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.