Healthcare Provider Details

I. General information

NPI: 1144034430
Provider Name (Legal Business Name): CAREMED CLINIC - ALABAMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2870 MONTGOMERY HWY
DOTHAN AL
36303-2606
US

IV. Provider business mailing address

2870 MONTGOMERY HWY
DOTHAN AL
36303-2606
US

V. Phone/Fax

Practice location:
  • Phone: 334-500-5500
  • Fax: 334-500-5550
Mailing address:
  • Phone: 334-500-5500
  • Fax: 334-500-5550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MURALI MADDIPATI
Title or Position: OWNER
Credential: MD
Phone: 850-526-3314