| Southern Psychiatry Associates Llc | |
|
3737 Government Blvd Ste 404 Mobile AL 36693-4362 | |
| (410) 868-5810 | |
| Not Available |
| Full Name | Southern Psychiatry Associates Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3737 Government Blvd Ste 404, Mobile, Alabama |
| Authorized Official Name and Position | Bradley Sadler (PSYCHIATRIST) |
| Authorized Official Contact | 4108685810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Psychiatry Associates Llc 15 Gladys Ave Mobile AL 36604-1360 Ph: () - | Southern Psychiatry Associates Llc 3737 Government Blvd Ste 404 Mobile AL 36693-4362 Ph: (410) 868-5810 |
| NPI Number | 1346693298 |
|---|---|
| Provider Enumeration Date | 07/15/2016 |
| Last Update Date | 07/15/2016 |
| Medicare PECOS PAC ID | 5294022174 |
|---|---|
| Medicare Enrollment ID | O20160920002317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346693298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD31615 (Alabama) | Primary |
| Provider Name | Thomas S Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679513683 PECOS PAC ID: 7810924107 Enrollment ID: I20050719000276 |
| Provider Name | Kimberly J Wimberly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528219748 PECOS PAC ID: 2567521958 Enrollment ID: I20081029000800 |
| Provider Name | Bradley J Sadler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306983143 PECOS PAC ID: 3779671565 Enrollment ID: I20120914000463 |
| Provider Name | Nathan S Baughn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720249261 PECOS PAC ID: 8123262169 Enrollment ID: I20130913000185 |
| Provider Name | Crystal R Threadgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528500907 PECOS PAC ID: 5294018396 Enrollment ID: I20170216000199 |
| Provider Name | Miranda Goodwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902354178 PECOS PAC ID: 2769752005 Enrollment ID: I20170719003865 |
| Provider Name | Jennifer M Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467879148 PECOS PAC ID: 9931329133 Enrollment ID: I20180711003793 |
| Provider Name | Douglas D Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649723982 PECOS PAC ID: 9234482845 Enrollment ID: I20181029003029 |
| Provider Name | Valerie Schofield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871968206 PECOS PAC ID: 2264775550 Enrollment ID: I20190530002265 |
| Provider Name | Kiwana Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831656701 PECOS PAC ID: 9739422684 Enrollment ID: I20191021003177 |
| Provider Name | Krystal Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992331573 PECOS PAC ID: 2466873245 Enrollment ID: I20200603000757 |
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