PETERSVILLE FAMILY CARE – NPI #1477040483
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.

PETERSVILLE FAMILY CARE is a provider located in FLORENCE, AL. NPPES has assigned the NPI number 1477040483 to PETERSVILLE FAMILY CARE on April 16, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PETERSVILLE FAMILY CARE” is a dba name, the actual legal business name for this organization is PETERSVILLE FAMILY CARE, LLC. 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 2 years ago on May 03, 2024. 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 PETERSVILLE FAMILY CARE below.

NPI Profile for
PETERSVILLE FAMILY CARE, LLC

NPI Number
1477040483
Enumeration Date

(more than 8 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
PETERSVILLE FAMILY CARE, LLC
Doing Business As (dba): PETERSVILLE FAMILY CARE
Primary location
2929 CLOVERDALE RD
FLORENCE, AL 35633
Phone: (256) 366-3551 Fax:
Mailing address
2929 CLOVERDALE RD UNIT D
FLORENCE, AL 35633-1505
Phone: (256) 275-7125 Fax: (256) 275-7254
Organization Subpart
No
Authorized Official
SUSAN MILLER
OWNER
Phone: (256) 275-7125
Updated
Certification Date
May 03, 2024

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 PETERSVILLE FAMILY CARE

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
otherINDIVIDUAL NPIAL1265837769
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)
AL 1-01128

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.