CULLMAN PRIMARY CARE, PC – NPI #1114238243
Family Medicine

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.

CULLMAN PRIMARY CARE, PC is a provider located in CULLMAN, AL. NPPES has assigned the NPI number 1114238243 to CULLMAN PRIMARY CARE, PC on June 23, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Jun 15, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CULLMAN PRIMARY CARE, PC below.

NPI Profile for
CULLMAN PRIMARY CARE, PC

NPI Number
1114238243
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CULLMAN PRIMARY CARE, PC
Primary location
408 CLARK ST NE
CULLMAN, AL 35055
Phone: (256) 734-3202 Fax: (256) 734-4668
Mailing address
503 CLARK ST NE
CULLMAN, AL 35055-1921
Phone: (256) 739-0801 Fax: (256) 739-0027
Organization Subpart
No
Authorized Official
CONNIE BLANKENSHIP
CREDENTIALING COORDINATOR
Phone: (256) 739-0801
Updated
Certification Date
Jun 15, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CULLMAN PRIMARY CARE, PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAL529601950
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.