| Ms Ashley Lauren Elizabeth Sudduth, | |
|
1050 Convalescent Rd, Vernon, AL 35592 | |
| (205) 695-9313 | |
| Not Available |
| Full Name | Ms Ashley Lauren Elizabeth Sudduth |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1050 Convalescent Rd, Vernon, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306370648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R871916 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-120828 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marion Regional Medical Center | Hamilton, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ouch Urgent Care Of Hamilton Llc | 0446525646 | 5 |
| Ouch Urgent Care Inc | 4789987835 | 5 |
| Dutch Medical Clinics, Inc | 9234376088 | 18 |
| Entity Name | Ouch Urgent Care Of Hamilton Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265962708 PECOS PAC ID: 0446525646 Enrollment ID: O20171012003392 |
| Entity Name | Generations Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184131690 PECOS PAC ID: 5294098539 Enrollment ID: O20180418002894 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Ashley Lauren Elizabeth Sudduth, 543 9th St Nw, Vernon, AL 35592-5813 Ph: (205) 712-0431 | Ms Ashley Lauren Elizabeth Sudduth, 1050 Convalescent Rd, Vernon, AL 35592 Ph: (205) 695-9313 |
Jamie Perkins Kendrick, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 230 Hospital Dr, Vernon, AL 35592 Phone: 205-523-8304 | |
Mrs. Cindy Cates Lake, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 888 County Road 9, Vernon, AL 35592 Phone: 205-898-4451 Fax: 256-304-5456 | |
Stacy Gallop, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 Convalescent Rd, Vernon, AL 35592 Phone: 205-431-3006 Fax: 205-695-9820 | |
Amber Diane Pennington, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44946 Highway 17, Vernon, AL 35592 Phone: 205-557-1300 Fax: 205-557-1300 | |
Angela Lea Carroll Glasgow, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 2nd Ave Nw, Vernon, AL 35592 Phone: 205-302-9000 | |
Crystal Mccoy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44946 Highway 17, Vernon, AL 35592 Phone: 205-431-6906 |