Healthcare Provider Details

I. General information

NPI: 1154362655
Provider Name (Legal Business Name): COMPLETE FAMILY MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 02/14/2026
Certification Date: 02/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1908 CHEROKEE AVE SW
CULLMAN AL
35055-5502
US

IV. Provider business mailing address

PO BOX 638
CULLMAN AL
35056-0638
US

V. Phone/Fax

Practice location:
  • Phone: 256-737-9416
  • Fax: 256-736-5684
Mailing address:
  • Phone: 256-737-9416
  • Fax: 256-736-5684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: JAMES THOMAS
Title or Position: FINANCIAL DIRECTOR
Credential:
Phone: 256-737-9416