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: July 19, 2026.

  • Organization
  • Internal Medicine

About COOSA VALLEY SPORTS MEDICINE AND PRIMARY CARE LLC

This page provides the complete NPI Profile along with additional information for Coosa Valley Sports Medicine And Primary Care Llc, an internist established in Sylacauga, Alabama operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1871924357 assigned on December 2013. The practitioner's primary taxonomy code is 207R00000X with license number MD.29754 (AL). The provider is registered as an organization and their NPI record was last updated 13 years ago. Coosa Valley Sports Medicine And Primary Care Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kennieth C Mccollough M.d. (Owner)

NPI
1871924357 Verify this NPI
Provider Name
COOSA VALLEY SPORTS MEDICINE AND PRIMARY CARE LLC
Entity Type
Organization
Location Address
209 W SPRING ST SUITE 305 SYLACAUGA, AL 35150
Location Phone
(256) 245-3201
Location Fax
(256) 245-4112
Mailing Address
209 W SPRING ST SUITE 305 SYLACAUGA, AL 35150
Mailing Phone
(256) 245-3201
Mailing Fax
(256) 245-4112
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-09-2013
Last Update Date
12-09-2013
Code Navigator

An internist like Coosa Valley Sports Medicine And Primary Care Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD.29754
License State
AL
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

KENNIETH C MCCOLLOUGH M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(256) 245-3201

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Other Providers at the Same Location


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

Internal Medicine
209 W SPRING ST, SUITE 200
SYLACAUGA, AL 35150
Internal Medicine
209 W SPRING ST, SUITE 200
SYLACAUGA, AL 35150
Internal Medicine
209 W SPRING ST, SUITE 200
SYLACAUGA, AL 35150
Internal Medicine
209 W SPRING ST, SUITE 200
SYLACAUGA, AL 35150
Internal Medicine
209 W SPRING ST, SUITE 200
SYLACAUGA, AL 35150
Internal Medicine
209 W SPRING ST, SUITE 200
SYLACAUGA, AL 35150
Physical Therapist
209 W SPRING ST, SUITE 302
SYLACAUGA, AL 35150
Pediatrics
209 W SPRING ST, SUITE 304
SYLACAUGA, AL 35150
Social Worker (Clinical)
209 W SPRING ST, SUITE 304
SYLACAUGA, AL 35150
Orthopaedic Surgery
209 W SPRING ST, SUITE 301
SYLACAUGA, AL 35150
Family Medicine
209 W SPRING ST, SUITE 102
SYLACAUGA, AL 35150
Family Medicine
209 W SPRING ST, SUITE 102
SYLACAUGA, AL 35150
Family Medicine
209 W SPRING ST, SUITE 100
SYLACAUGA, AL 35150
Pediatrics
209 W SPRING ST, SUITE 300
SYLACAUGA, AL 35150
Pediatrics
209 W SPRING ST, SUITE 300
SYLACAUGA, AL 35150
Internal Medicine (Hematology & Oncology)
209 W SPRING ST, SUITE 303
SYLACAUGA, AL 35150
Nurse Practitioner (Pediatrics)
209 W SPRING ST, #300
SYLACAUGA, AL 35150
Pediatrics
209 W SPRING ST, SUITE 300
SYLACAUGA, AL 35150
Orthopaedic Surgery (Sports Medicine)
209 W SPRING ST, SUITE 301
SYLACAUGA, AL 35150
Nurse Practitioner (Primary Care)
209 W SPRING ST, SUITE 300
SYLACAUGA, AL 35150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871924357, enumerated as an "organization" on December 09, 2013.

The provider is located at 209 W SPRING ST SUITE 305 SYLACAUGA, AL 35150 and the phone number is (256) 245-3201.

Internal Medicine with taxonomy code 207R00000X.