Mrs Jamie T Hixon-griffin, MD | |
526 Boll Weevil Cir, Enterprise, AL 36330-4012 | |
(334) 308-1166 | |
(334) 308-1019 |
Full Name | Mrs Jamie T Hixon-griffin |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 526 Boll Weevil Cir, Enterprise, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558396358 | NPI | - | NPPES |
009938874 | Medicaid | AL | |
140475 | Medicaid | AL | |
09134018 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 26574 (Alabama) | Secondary |
208000000X | Pediatrics | 062041 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jamie T Hixon-griffin, MD 3495 Piedmont Rd Ne, Atlanta, GA 30305-1717 Ph: (404) 365-0966 | Mrs Jamie T Hixon-griffin, MD 526 Boll Weevil Cir, Enterprise, AL 36330-4012 Ph: (334) 308-1166 |
Dr. Rodd Daniel Whitaker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Professional Lane, Enterprise, AL 36330 Phone: 334-347-3404 Fax: 334-393-0613 | |
Norma P Samuy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 E Watts St, Enterprise, AL 36330 Phone: 334-393-5437 Fax: 334-393-4185 | |
Nola Jean Ernest, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 526 Boll Weevil Cir, Enterprise Pediatric Clinic, Enterprise, AL 36330 Phone: 334-308-1166 Fax: 334-308-1019 | |
Dr. Alexander Mark Eisen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 105 E Watts St, Enterprise, AL 36330 Phone: 334-393-5437 Fax: 334-393-4185 | |
Dr. William A Gammill, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 101 E Brunson St, Suite 200, Enterprise, AL 36330 Phone: 334-393-3686 Fax: 334-347-4906 | |
Dr. Maria Aurora Canlas Sucgang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Professional Ln, Enterprise, AL 36330 Phone: 334-347-3404 Fax: 334-393-0613 |