| Alabama Regional Medical Services | |
|
712 25th St N Birmingham AL 35203-2400 | |
| (205) 323-5311 | |
| (205) 439-7248 |
| Full Name | Alabama Regional Medical Services |
|---|---|
| Speciality | Family Medicine |
| Location | 712 25th St N, Birmingham, Alabama |
| Authorized Official Name and Position | Anthony Gardner (CEO) |
| Authorized Official Contact | 2052125654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alabama Regional Medical Services Po Box 11523 Birmingham AL 35203 Ph: (205) 212-5600 | Alabama Regional Medical Services 712 25th St N Birmingham AL 35203-2400 Ph: (205) 323-5311 |
| NPI Number | 1417025917 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7315856341 |
|---|---|
| Medicare Enrollment ID | O20040109000953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417025917 | NPI | - | NPPES |
| 630000016 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Suzanne E Simms |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699785055 PECOS PAC ID: 6901793009 Enrollment ID: I20040303000361 |
| Provider Name | Elizabeth A Steele |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023028479 PECOS PAC ID: 2769456912 Enrollment ID: I20040823001512 |
| Provider Name | Ronald D Agee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407037955 PECOS PAC ID: 9335218825 Enrollment ID: I20090714000226 |
| Provider Name | Mustafa Mohiuddin Akif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396773024 PECOS PAC ID: 2163591397 Enrollment ID: I20101117000516 |
| Provider Name | Katherine A Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356582100 PECOS PAC ID: 6608020128 Enrollment ID: I20130211000347 |
| Provider Name | Demechiko French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578002440 PECOS PAC ID: 9234406794 Enrollment ID: I20170605001434 |
| Provider Name | Jason Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659621589 PECOS PAC ID: 7012272131 Enrollment ID: I20180521000403 |
| Provider Name | Jasmine P Gaines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417349580 PECOS PAC ID: 4082996301 Enrollment ID: I20180625002077 |
| Provider Name | Cortessia Badie Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487046132 PECOS PAC ID: 1951643766 Enrollment ID: I20190426001792 |
| Provider Name | Ronald David Agee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982116950 PECOS PAC ID: 5496083693 Enrollment ID: I20190827000264 |
| Provider Name | Ivory Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407322266 PECOS PAC ID: 1951630797 Enrollment ID: I20190904001984 |
| Provider Name | Katherine Taylor Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396331419 PECOS PAC ID: 6800201609 Enrollment ID: I20210208002310 |
| Provider Name | Nicole Leshoure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497115240 PECOS PAC ID: 0244634194 Enrollment ID: I20210813002743 |
| Provider Name | Allison Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811469620 PECOS PAC ID: 0143625053 Enrollment ID: I20210816001872 |
| Provider Name | Molleen Kofman Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588921803 PECOS PAC ID: 1052776325 Enrollment ID: I20230420003112 |
| Provider Name | Erika M Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134656218 PECOS PAC ID: 5193095388 Enrollment ID: I20240123001431 |
| Provider Name | Latasha D Toney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598334625 PECOS PAC ID: 6305289935 Enrollment ID: I20240209003143 |
| Provider Name | Miranda G Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558016758 PECOS PAC ID: 5698111201 Enrollment ID: I20240306000359 |
| Provider Name | Elise Mcalpine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265552251 PECOS PAC ID: 2860721990 Enrollment ID: I20240313001594 |
| Provider Name | Alexandra H Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285362038 PECOS PAC ID: 7214374214 Enrollment ID: I20240326003730 |
| Provider Name | Kristi Kakoliris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548960826 PECOS PAC ID: 3274973607 Enrollment ID: I20240501003552 |
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Tom Tartt Brown, Jr., M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2660 10th Ave S, Ste 225, Birmingham, AL 35205 Phone: 205-933-5808 Fax: 205-930-2119 | |
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