Provider Demographics
NPI:1144527326
Name:ALABAMA EMG LLC
Entity type:Organization
Organization Name:ALABAMA EMG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-514-2514
Mailing Address - Street 1:102 BRIGADOON DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35757-8735
Mailing Address - Country:US
Mailing Address - Phone:256-270-9979
Mailing Address - Fax:256-270-9980
Practice Address - Street 1:4704 WHITESBURG DR SW
Practice Address - Street 2:SUITE 201
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1679
Practice Address - Country:US
Practice Address - Phone:256-270-9979
Practice Address - Fax:256-270-9980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD 28175261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
1730129016OtherINDIVIDUAL NPI DR. PAIGE ROY
AL51110930OtherBCBS ALABAMA
I56975Medicare UPIN