MEDICARE: DR. GARY ALAN CALHOUN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	15304	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	051501161	OTHER	AL	MEDICARE PROVIDER NUMBER
2	051514931	OTHER	AL	MEDICARE PROVIDER NUMBER

General Provider Information

NPI Number	:	1083687990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY ALAN CALHOUN MD

Provider Business Mailing Address
First Line	:	PO BOX 668
Second Line	:
City	:	ALBERTVILLE
State	:	AL
Zip	:	35950-0012
Country	:	US
Telephone Number	:	256-505-6826
Fax Number	:	256-571-2862

Provider Business Practice Location Address
First Line	:	11491 US HIGHWAY 431
Second Line	:
City	:	ALBERTVILLE
State	:	AL
Zip	:	35950-0136
Country	:	US
Telephone Number	:	256-894-6976
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	11/03/2025

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Directions to “ DR. GARY ALAN CALHOUN MD” Practice Location

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