| Andalusia Neurology | |
|
109 Medical Park Dr Suite A Andalusia AL 36420-5323 | |
| (334) 222-2332 | |
| (334) 222-2475 |
| Full Name | Andalusia Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 109 Medical Park Dr, Andalusia, Alabama |
| Authorized Official Name and Position | Kathy Teague (VICE PRESIDENT, CORPORATE SECRETARY) |
| Authorized Official Contact | 6292535121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andalusia Neurology Po Box 28 Andalusia AL 36420-1200 Ph: (334) 222-2332 | Andalusia Neurology 109 Medical Park Dr Suite A Andalusia AL 36420-5323 Ph: (334) 222-2332 |
| NPI Number | 1437202009 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/09/2023 |
| Medicare PECOS PAC ID | 7315043007 |
|---|---|
| Medicare Enrollment ID | O20070425000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437202009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 27742 (Alabama) | Primary |
| Provider Name | Pamela N Barber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144244088 PECOS PAC ID: 0840242251 Enrollment ID: I20050214000864 |
| Provider Name | William R Farmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710962535 PECOS PAC ID: 3173560968 Enrollment ID: I20070621000173 |
| Provider Name | Jill C Elmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285841270 PECOS PAC ID: 0446334239 Enrollment ID: I20080304000209 |
| Provider Name | Rainer A Birk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487628111 PECOS PAC ID: 7315910791 Enrollment ID: I20080428000346 |
| Provider Name | Kristy Leigh Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891945614 PECOS PAC ID: 9830251412 Enrollment ID: I20081216000060 |
| Provider Name | Timothy G Day |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124083449 PECOS PAC ID: 6709079601 Enrollment ID: I20111212000830 |
| Provider Name | Grover A Wells |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215974233 PECOS PAC ID: 3779547161 Enrollment ID: I20120111000152 |
| Provider Name | Sherry S Roper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922366103 PECOS PAC ID: 5092971614 Enrollment ID: I20120726000535 |
| Provider Name | Richard Allen Roller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487610564 PECOS PAC ID: 0042467441 Enrollment ID: I20120820000741 |
| Provider Name | Christyl Jade Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861830689 PECOS PAC ID: 6901049261 Enrollment ID: I20130905000630 |
| Provider Name | Breena R Till |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376976183 PECOS PAC ID: 5597909804 Enrollment ID: I20130926000052 |
| Provider Name | Heath A Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811936453 PECOS PAC ID: 0345152872 Enrollment ID: I20140916002009 |
| Provider Name | Vicki D Senn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881007086 PECOS PAC ID: 7214244516 Enrollment ID: I20150918001931 |
| Provider Name | Patrick F Kelly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184679417 PECOS PAC ID: 7719873033 Enrollment ID: I20151021003333 |
| Provider Name | Kelly Hammett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518340777 PECOS PAC ID: 8325357817 Enrollment ID: I20151023001244 |
| Provider Name | Bhagwan D Bang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487615084 PECOS PAC ID: 4688983828 Enrollment ID: I20151029000205 |
| Provider Name | Holli Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184092488 PECOS PAC ID: 6800196981 Enrollment ID: I20151120001498 |
| Provider Name | Robin S Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689037327 PECOS PAC ID: 9234429267 Enrollment ID: I20160603001170 |
| Provider Name | Marc A Chatman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164883054 PECOS PAC ID: 4385935782 Enrollment ID: I20160615000551 |
| Provider Name | Cherri Jennewein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932413994 PECOS PAC ID: 8628395522 Enrollment ID: I20160809002309 |
| Provider Name | Melissa April Rose Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568815793 PECOS PAC ID: 7416244348 Enrollment ID: I20160921000874 |
| Provider Name | Robert L Long |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356317002 PECOS PAC ID: 8123185162 Enrollment ID: I20161205001047 |
| Provider Name | Elizabeth Tucker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639564107 PECOS PAC ID: 3274838438 Enrollment ID: I20181023002256 |
| Provider Name | Tracy D Logsdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699789271 PECOS PAC ID: 6901900166 Enrollment ID: I20200918000757 |
| Provider Name | Asia Dutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457960635 PECOS PAC ID: 0244644987 Enrollment ID: I20210120003385 |
| Provider Name | Connie Jeanine Lasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548858202 PECOS PAC ID: 0648686865 Enrollment ID: I20210311002875 |
| Provider Name | Kathrine Steele Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407440829 PECOS PAC ID: 6204242464 Enrollment ID: I20210312000977 |
| Provider Name | Charles E Eldridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629160635 PECOS PAC ID: 8123083086 Enrollment ID: I20210528000999 |
| Provider Name | Evan Torline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669905055 PECOS PAC ID: 6608120373 Enrollment ID: I20210802000442 |
| Provider Name | Srividhya Sridharan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720465909 PECOS PAC ID: 5395047096 Enrollment ID: I20221103001132 |
| Provider Name | Srikanth Garlapati |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700129715 PECOS PAC ID: 1951680321 Enrollment ID: I20221129000885 |
| Provider Name | Jenny Goss |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578984811 PECOS PAC ID: 3375866155 Enrollment ID: I20230504002036 |
| Provider Name | Carson Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174150783 PECOS PAC ID: 6103249446 Enrollment ID: I20230907000791 |
Covington Neurology & Sleep Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 E Three Notch St, Andalusia, AL 36420 Phone: 334-222-3700 Fax: 334-222-3720 | |
South Central Alabama Mental Health Board Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 19815 Bay Branch Rd, Andalusia, AL 36420 Phone: 334-222-2525 Fax: 334-222-4660 | |
Southern Sleep Clinics Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 S Three Notch St, Andalusia, AL 36420 Phone: 334-222-3305 Fax: 334-222-3385 | |
Calloway Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Whatley St, Andalusia, AL 36420 Phone: 334-399-5371 | |
South Central Al Mental Health Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19815 Bay Branch Rd, Andalusia, AL 36420 Phone: 334-222-2525 Fax: 334-222-4660 | |
Southern Counseling Group Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 614 W Bypass, Andalusia, AL 36420 Phone: 334-582-2273 |