| New South Psychiatry,pc | |
|
3209 Midtown Park S Mobile AL 36606-4126 | |
| (251) 525-9090 | |
| (251) 525-9091 |
| Full Name | New South Psychiatry,pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3209 Midtown Park S, Mobile, Alabama |
| Authorized Official Name and Position | Mark A Haygood (PRESIDENT) |
| Authorized Official Contact | 2513806241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New South Psychiatry,pc 3209 Midtown Park S Mobile AL 36606-4126 Ph: (251) 525-9090 | New South Psychiatry,pc 3209 Midtown Park S Mobile AL 36606-4126 Ph: (251) 525-9090 |
| NPI Number | 1063913630 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 06/06/2019 |
| Medicare PECOS PAC ID | 8921357898 |
|---|---|
| Medicare Enrollment ID | O20180827000942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063913630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | James Hart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871783522 PECOS PAC ID: 6103952619 Enrollment ID: I20100408000498 |
| Provider Name | Mark A Haygood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073834370 PECOS PAC ID: 3971768425 Enrollment ID: I20120706000375 |
| Provider Name | Michael A Pickert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275090300 PECOS PAC ID: 5597008243 Enrollment ID: I20190520002769 |
| Provider Name | Laura O Gale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235794561 PECOS PAC ID: 4486984473 Enrollment ID: I20190917003440 |
| Provider Name | Kina C Hooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851941397 PECOS PAC ID: 7810320918 Enrollment ID: I20191203002874 |
| Provider Name | Beverly J Ales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174156103 PECOS PAC ID: 1759710361 Enrollment ID: I20200402002035 |
| Provider Name | Lori Ann Renner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114561347 PECOS PAC ID: 0042680720 Enrollment ID: I20221222000437 |
| Provider Name | Marquita A Nettles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164283297 PECOS PAC ID: 4789022526 Enrollment ID: I20240329001417 |
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