| 360care Services Of Al Llc | |
|
150 S Perry St Montgomery AL 36104-4227 | |
| (502) 244-2441 | |
| (502) 254-4069 |
| Full Name | 360care Services Of Al Llc |
|---|---|
| Speciality | Audiologist |
| Location | 150 S Perry St, Montgomery, Alabama |
| Authorized Official Name and Position | Joy L Stevens (DIRECTOR OF REVENUE) |
| Authorized Official Contact | 5022442441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 360care Services Of Al Llc 12910 Shelbyville Rd Ste 300 Louisville KY 40243-2404 Ph: (502) 244-2441 | 360care Services Of Al Llc 150 S Perry St Montgomery AL 36104-4227 Ph: (502) 244-2441 |
| NPI Number | 1710493176 |
|---|---|
| Provider Enumeration Date | 12/21/2017 |
| Last Update Date | 10/29/2021 |
| Certification Date | 10/29/2021 |
| Medicare PECOS PAC ID | 7719240977 |
|---|---|
| Medicare Enrollment ID | O20180423000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710493176 | NPI | - | NPPES |
| Provider Name | La'shonda A Moore |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518993310 PECOS PAC ID: 1658285861 Enrollment ID: I20031112000811 |
| Provider Name | Glenn S Mcphillips |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104821222 PECOS PAC ID: 8729071097 Enrollment ID: I20041227000512 |
| Provider Name | Samuel Riase |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003929886 PECOS PAC ID: 2860432705 Enrollment ID: I20050510000557 |
| Provider Name | Johnnie Paul Barnes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003816521 PECOS PAC ID: 1658303201 Enrollment ID: I20050906000264 |
| Provider Name | Christopher J Deporter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669592796 PECOS PAC ID: 4284640681 Enrollment ID: I20060223000658 |
| Provider Name | Jay M Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225108103 PECOS PAC ID: 1658372701 Enrollment ID: I20070116000614 |
| Provider Name | Joe B Griffin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477731313 PECOS PAC ID: 9133206535 Enrollment ID: I20080409000666 |
| Provider Name | Sidney I Greenberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548342660 PECOS PAC ID: 5991858169 Enrollment ID: I20090805000574 |
| Provider Name | Aiesha S Hill |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669604526 PECOS PAC ID: 8820135767 Enrollment ID: I20091026000107 |
| Provider Name | Sheila A Readal |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366693947 PECOS PAC ID: 4587701016 Enrollment ID: I20091102000301 |
| Provider Name | Kristen Delauney |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215257456 PECOS PAC ID: 2567654973 Enrollment ID: I20101004001005 |
| Provider Name | Stacy Elizabeth Heller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427382530 PECOS PAC ID: 7416141569 Enrollment ID: I20101102001083 |
| Provider Name | Irwin H Fingerman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124043831 PECOS PAC ID: 9436114907 Enrollment ID: I20101228000017 |
| Provider Name | Lynn Carmichael |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013165349 PECOS PAC ID: 2769661677 Enrollment ID: I20110125000359 |
| Provider Name | Brian W Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245299866 PECOS PAC ID: 2668646910 Enrollment ID: I20111122000741 |
| Provider Name | Kendra Mills |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780945568 PECOS PAC ID: 2466698931 Enrollment ID: I20130429000667 |
| Provider Name | Kristen N Murray |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528346145 PECOS PAC ID: 8729306121 Enrollment ID: I20150415001368 |
| Provider Name | Caitlyn P Roberts |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083065841 PECOS PAC ID: 5597058560 Enrollment ID: I20160728000907 |
| Provider Name | Wesley Lewis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386873180 PECOS PAC ID: 3577602697 Enrollment ID: I20170712003811 |
| Provider Name | Valerie Baskerville |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518087204 PECOS PAC ID: 8426210576 Enrollment ID: I20170821000712 |
| Provider Name | Chelsea Chandler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285158022 PECOS PAC ID: 9931473493 Enrollment ID: I20170921001999 |
| Provider Name | Anna Meisler Zarzour |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1295251981 PECOS PAC ID: 9638443849 Enrollment ID: I20170926003020 |
| Provider Name | Sonya K Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427571389 PECOS PAC ID: 9638437049 Enrollment ID: I20171212002536 |
| Provider Name | Heather Lei Hamstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760824007 PECOS PAC ID: 0840433520 Enrollment ID: I20171219003618 |
| Provider Name | Scott Jason Giaimo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912967381 PECOS PAC ID: 2163488446 Enrollment ID: I20180926003624 |
| Provider Name | Adrienne Migayle Atkinson-sneed |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366462699 PECOS PAC ID: 1658452909 Enrollment ID: I20181029000036 |
| Provider Name | Kelly Jo Kovach |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1770869844 PECOS PAC ID: 4082968086 Enrollment ID: I20181109001641 |
| Provider Name | Edward Byron Eppes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831668631 PECOS PAC ID: 1759628118 Enrollment ID: I20190123004378 |
| Provider Name | Rupa Jayagopal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902292873 PECOS PAC ID: 8820336027 Enrollment ID: I20190213002933 |
| Provider Name | Clark Alan Bernie |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063428563 PECOS PAC ID: 9537278767 Enrollment ID: I20190215001524 |
| Provider Name | James Fitzgerald Noel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356303416 PECOS PAC ID: 8729046081 Enrollment ID: I20190402000893 |
| Provider Name | Jessica M Pruett |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689232563 PECOS PAC ID: 5294069365 Enrollment ID: I20190624001135 |
| Provider Name | Ronald David Agee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982116950 PECOS PAC ID: 5496083693 Enrollment ID: I20190827000264 |
| Provider Name | Deborah Howell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760090229 PECOS PAC ID: 5597180257 Enrollment ID: I20200729001452 |
| Provider Name | Mason Buckley Childers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952926776 PECOS PAC ID: 9638598683 Enrollment ID: I20200924003127 |
| Provider Name | Kelsie Morgan Graffagnino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770108573 PECOS PAC ID: 7315352333 Enrollment ID: I20210224001259 |
| Provider Name | Leah G Barter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386991768 PECOS PAC ID: 9739581562 Enrollment ID: I20210715001789 |
| Provider Name | Susannah Standal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588723019 PECOS PAC ID: 5193628634 Enrollment ID: I20210927002840 |
| Provider Name | Elizabeth Marie Cote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679147409 PECOS PAC ID: 0042600637 Enrollment ID: I20211214003113 |
| Provider Name | Carmelita Leslie Harbeson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013368257 PECOS PAC ID: 7012244726 Enrollment ID: I20220215002200 |
| Provider Name | Stephanie Maurais |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871895912 PECOS PAC ID: 9830364231 Enrollment ID: I20220216000332 |
| Provider Name | Heather Purman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750942181 PECOS PAC ID: 0648608612 Enrollment ID: I20221015000066 |
| Provider Name | Frederick Wiseman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972506558 PECOS PAC ID: 4385627793 Enrollment ID: I20221031000480 |
| Provider Name | Tammy D Rowe |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407125131 PECOS PAC ID: 2365813078 Enrollment ID: I20230117000988 |
| Provider Name | Janakkumar Vijaykumar Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487088944 PECOS PAC ID: 9537524129 Enrollment ID: I20230504000900 |
| Provider Name | Troy Morton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942249057 PECOS PAC ID: 5698787182 Enrollment ID: I20230615002441 |
| Provider Name | Nicholas A Lalios |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538693536 PECOS PAC ID: 0840569679 Enrollment ID: I20230808002400 |
| Provider Name | Francesca Rose Sikorski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629641584 PECOS PAC ID: 5890199483 Enrollment ID: I20231005000576 |
| Provider Name | Katamie Cleveland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467231910 PECOS PAC ID: 2365897014 Enrollment ID: I20231016002023 |
| Provider Name | Lynnette B Bardolf |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326117367 PECOS PAC ID: 1658729686 Enrollment ID: I20231130002686 |
| Provider Name | Samantha Lashay Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265917470 PECOS PAC ID: 1254782188 Enrollment ID: I20240104003824 |
Inmed Clinical Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5303 Vaughn Rd, Montgomery, AL 36116 Phone: 334-383-0343 Fax: 334-386-0382 | |
Med-art In Motion, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 W 3rd St, Montgomery, AL 36106 Phone: 334-649-2966 | |
Spectrum Specialists Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3967 Ray Dr, Montgomery, AL 36109 Phone: 225-362-7048 | |
Eric B. Hedberg, M.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Longfield Ct, Montgomery, AL 36117 Phone: 334-288-9009 Fax: 334-288-9497 | |
Therapeutic Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3661 Oak Shadow Ln, Montgomery, AL 36116 Phone: 334-318-1182 | |
Harmony Solutions Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2059 Vaughn Ln, Montgomery, AL 36106 Phone: 503-395-4648 | |
Gardenia Cove Mental Health Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6771 Taylor Circle, Montgomery, AL 36117 Phone: 334-954-6010 |