OrganizationActive
Marshall Medical Center North
NPI 1104149442 · Family Medicine Physician · Grant, AL
Provider details
- NPI number
- 1104149442
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Marshall Medical Center North
- Organization subpart
- Yes
- Authorized official
- Kathy Nelson, Cfo(256) 894-6600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4500 Main St
Grant, AL 35747-8303
Phone: (256) 728-8600
Street-level locationGet directions
Mailing address
P.o. Box 11407
Birmingham, AL 35246-0132
Other names (DBA / former)
- Doing business as
- Grant Primary Care
Registry dates
- Enumerated
- 2010-03-01
- Last updated
- 2011-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.