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COOSA VALLEY SPORTS MEDICINE AND PRIMARY CARE LLC
NPI 1871924357
Internal Medicine in Sylacauga, AL

Active since December 09, 2013
209 W SPRING ST, SUITE 305, SYLACAUGA, AL 35150(256) 245-3201(256) 245-4112 Get Directions Write a Review

NPPES record last updated: December 9, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coosa Valley Sports Medicine And Primary Care Llc NPPES

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

COOSA VALLEY SPORTS MEDICINE AND PRIMARY CARE LLC (NPI 1871924357) is a healthcare organization registered as an internal medicine in Sylacauga, Alabama and active in the NPI registry since December 2013. The organization lists Kennieth C Mccollough, Owner, as its authorized official.

NPPES Registry Identity

NPI1871924357
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOOSA VALLEY SPORTS MEDICINE AND PRIMARY CARE LLC
Location Address209 W SPRING ST, SUITE 305Sylacauga, AL 35150-2973
Mailing Address209 W Spring St, Suite 305Sylacauga, AL 35150-2973 · (256) 245-3201 · Fax (256) 245-4112
Phone(256) 245-3201
Fax(256) 245-4112
Organization SubpartNo
Authorized OfficialKennieth C MccolloughOwner · (256) 245-3201
Enumeration DateDecember 9, 2013
✔ NPI 1871924357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · MD.29754
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
209 W SPRING ST, Sylacauga, AL 35150
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Group Practice 1

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

Other Providers at the Same Location NPPES 20

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

KRISTEN LAWHORN CRNP
Nurse Practitioner (Primary Care)
209 W SPRING ST, SUITE 300
SYLACAUGA, AL 35150
Talladega County (256) 208-0060
DR. MOHAMED AMMAR ALDAHER M.D.
Internal Medicine
209 W SPRING ST, SUITE 200
SYLACAUGA, AL 35150
Talladega County (256) 245-5241
MS. LAURA TUBBS CRNP
Nurse Practitioner (Pediatrics)
209 W SPRING ST, #300
SYLACAUGA, AL 35150
Talladega County (256) 208-0060
PATHWAY PEDIATRICS, INC.
Pediatrics
209 W SPRING ST, SUITE 300
SYLACAUGA, AL 35150
Talladega County (256) 208-0060
MR. IMAD KHDAIR MD
Internal Medicine
209 W SPRING ST, SUITE 200
SYLACAUGA, AL 35150
Talladega County (256) 245-5241
SYLACAUGA OBSTETRICS AND PRIMARY CARE, LLC
Clinic/Center
209 W SPRING ST, SUITE 100
SYLACAUGA, AL 35150
Talladega County (256) 249-5888
DR. NADER BISHARA M.D.
Pediatrics
209 W SPRING ST, SUITE 100
SYLACAUGA, AL 35150
Talladega County (256) 245-1237
CRADDOCK HEALTH CENTER P C
Internal Medicine
209 W SPRING ST, SUITE 200
SYLACAUGA, AL 35150
Talladega County (256) 245-5241

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 Coosa Valley Sports Medicine And Primary Care LLC's NPI number?

The NPI number for Coosa Valley Sports Medicine And Primary Care LLC is 1871924357. It was assigned to this organization in the NPPES registry on December 9, 2013.

Where is Coosa Valley Sports Medicine And Primary Care LLC located?

Coosa Valley Sports Medicine And Primary Care LLC is located at 209 W Spring St Suite 305, Sylacauga, AL 35150. The listed phone number is (256) 245-3201.

What is Coosa Valley Sports Medicine And Primary Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Coosa Valley Sports Medicine And Primary Care LLC was last updated on December 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.