Addison Medical Clinic | |
16356 County Road 41 Addison AL 35540 | |
(256) 747-1186 | |
(256) 747-1196 |
Full Name | Addison Medical Clinic |
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Speciality | Family Medicine |
Location | 16356 County Road 41, Addison, Alabama |
Authorized Official Name and Position | Terry M James (OWNER/PHYSICIAN) |
Authorized Official Contact | 2567471186 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Addison Medical Clinic Po Box 449 Addison AL 35540-0449 Ph: (256) 747-1186 | Addison Medical Clinic 16356 County Road 41 Addison AL 35540 Ph: (256) 747-1186 |
NPI Number | 1760785406 |
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Provider Enumeration Date | 12/20/2010 |
Last Update Date | 02/11/2011 |
Medicare PECOS PAC ID | 1658555933 |
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Medicare Enrollment ID | O20110411000708 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760785406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Alabama) | Primary |
Provider Name | Terry M James |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225250640 PECOS PAC ID: 7214013259 Enrollment ID: I20080401000039 |
Provider Name | Tanya S Hudson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679963078 PECOS PAC ID: 0941408546 Enrollment ID: I20160511002539 |
Provider Name | Kara Godbee Everett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538608781 PECOS PAC ID: 8527313998 Enrollment ID: I20180626003175 |
Provider Name | Alexandria Nix |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063006070 PECOS PAC ID: 3779981196 Enrollment ID: I20211014002120 |
Provider Name | Jayla Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922622372 PECOS PAC ID: 0941699433 Enrollment ID: I20211123001686 |
Provider Name | Whitney Dyer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083374037 PECOS PAC ID: 8224416672 Enrollment ID: I20220526000423 |
Addison Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30795 Highway 278, Addison, AL 35540 Phone: 256-747-8100 |