Boyde J. Harrison, Md | |
904 26th St Haleyville AL 35565-1719 | |
(205) 486-5234 | |
Not Available |
Full Name | Boyde J. Harrison, Md |
---|---|
Speciality | Family Medicine |
Location | 904 26th St, Haleyville, Alabama |
Authorized Official Name and Position | Ashley Pool (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 2054857108 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Boyde J. Harrison, Md 904 26th St Haleyville AL 35565-1719 Ph: (205) 486-5234 | Boyde J. Harrison, Md 904 26th St Haleyville AL 35565-1719 Ph: (205) 486-5234 |
NPI Number | 1497213482 |
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Provider Enumeration Date | 03/08/2019 |
Last Update Date | 06/25/2019 |
Medicare PECOS PAC ID | 8224354618 |
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Medicare Enrollment ID | O20190605001797 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497213482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Provider Name | Milton A George |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619917762 PECOS PAC ID: 2860303831 Enrollment ID: I20040422001692 |
Provider Name | Karen L Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902911654 PECOS PAC ID: 4981676590 Enrollment ID: I20040812000526 |
Provider Name | Jeffrey M Saylor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174589410 PECOS PAC ID: 3274509336 Enrollment ID: I20040909000509 |
Provider Name | Brenda L Vactor |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063420644 PECOS PAC ID: 8224084256 Enrollment ID: I20050323000650 |
Provider Name | Alissa A Hood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427125210 PECOS PAC ID: 8628177227 Enrollment ID: I20070622000177 |
Provider Name | Boyde Jerome Harrison |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619908571 PECOS PAC ID: 3375445182 Enrollment ID: I20090422000225 |
Provider Name | David L Rader |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1033108436 PECOS PAC ID: 9032248679 Enrollment ID: I20100520000291 |
Provider Name | Deborah K Dyar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891726758 PECOS PAC ID: 2365544582 Enrollment ID: I20100812000129 |
Provider Name | Gregory M Flippo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033187109 PECOS PAC ID: 7719898832 Enrollment ID: I20100901000698 |
Provider Name | Larry R Johnston |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023003019 PECOS PAC ID: 2961694740 Enrollment ID: I20101012000813 |
Provider Name | Tina Jones-davis |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033478482 PECOS PAC ID: 2062676232 Enrollment ID: I20120620000133 |
Provider Name | Christopher M Ross |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891055406 PECOS PAC ID: 6103081716 Enrollment ID: I20120705000535 |
Provider Name | Jonathan Byron Scogin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922355312 PECOS PAC ID: 8921256413 Enrollment ID: I20120906000669 |
Provider Name | Jack B Pruett |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427002369 PECOS PAC ID: 7719949460 Enrollment ID: I20131203000974 |
Provider Name | Bardya Mostafavi Naein |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346597804 PECOS PAC ID: 7012132947 Enrollment ID: I20140708002077 |
Provider Name | Susan Denise Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265837769 PECOS PAC ID: 2668794322 Enrollment ID: I20141208001490 |
Provider Name | Ira Shrestha |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891062105 PECOS PAC ID: 0042533820 Enrollment ID: I20141231001354 |
Provider Name | Leslie Jeffries |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962894030 PECOS PAC ID: 3173837069 Enrollment ID: I20150805009623 |
Provider Name | Mandy Stone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790135937 PECOS PAC ID: 0244523355 Enrollment ID: I20160727001545 |
Provider Name | Sandra Lemons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821440017 PECOS PAC ID: 2769776996 Enrollment ID: I20160810001125 |
Provider Name | Monica Diane Phillips |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467908533 PECOS PAC ID: 9133407851 Enrollment ID: I20161101001609 |
Provider Name | Laura D Hart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548200553 PECOS PAC ID: 0042260044 Enrollment ID: I20170111000190 |
Provider Name | Barry Chase Gunter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629442090 PECOS PAC ID: 8224308689 Enrollment ID: I20170718003947 |
Provider Name | Saujanya Shakya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235425083 PECOS PAC ID: 9830377266 Enrollment ID: I20170927000469 |
Provider Name | Tara H Bradley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144758384 PECOS PAC ID: 4587935036 Enrollment ID: I20171024002001 |
Provider Name | Elizabeth A Shoemaker |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043601701 PECOS PAC ID: 5799096236 Enrollment ID: I20180122001936 |
Provider Name | Rebecca Allred |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740710516 PECOS PAC ID: 2163787987 Enrollment ID: I20180529001856 |
Provider Name | Christy M Mcafee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932685724 PECOS PAC ID: 6305197344 Enrollment ID: I20181001002932 |
Provider Name | Stephanie Kenney |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447733563 PECOS PAC ID: 2466705827 Enrollment ID: I20181101000338 |
Provider Name | Tarrah Kilpatrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871067686 PECOS PAC ID: 5193055416 Enrollment ID: I20190928000068 |
Provider Name | David J Angwin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811433147 PECOS PAC ID: 7012249931 Enrollment ID: I20191025002460 |
Provider Name | Allison B Smalley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700427119 PECOS PAC ID: 6800229162 Enrollment ID: I20191127002618 |
Provider Name | Latonya Washington |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053953281 PECOS PAC ID: 6608209614 Enrollment ID: I20191205001601 |
Provider Name | Brandi Sharp Ray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831633403 PECOS PAC ID: 5294012506 Enrollment ID: I20191218002172 |
Provider Name | Donald Vollmer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184612921 PECOS PAC ID: 1557259967 Enrollment ID: I20200116001791 |
Provider Name | Summer C Todd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245791912 PECOS PAC ID: 8325475536 Enrollment ID: I20200228000992 |
Provider Name | Rachel M Derivaux |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821469552 PECOS PAC ID: 6507296514 Enrollment ID: I20200415000677 |
Provider Name | Megan C Larrabee |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578863940 PECOS PAC ID: 3173943875 Enrollment ID: I20201019002716 |
Provider Name | Christina C Wolfe |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811409931 PECOS PAC ID: 0840600219 Enrollment ID: I20201113002100 |
Provider Name | Damon Q Smith |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467059055 PECOS PAC ID: 7618382482 Enrollment ID: I20210209002718 |
Provider Name | Rebecca Moerbe |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992391619 PECOS PAC ID: 9133535073 Enrollment ID: I20210301002655 |
Provider Name | Mary Lynne Gibbons |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740860568 PECOS PAC ID: 5799193066 Enrollment ID: I20210427000411 |
Provider Name | Lela Mckinney |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982273173 PECOS PAC ID: 9335540004 Enrollment ID: I20210701002277 |
Provider Name | Amy M Traylor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972000149 PECOS PAC ID: 5890050447 Enrollment ID: I20210706003625 |
Provider Name | Dechandriss Page-nsougan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881098309 PECOS PAC ID: 7113321209 Enrollment ID: I20210811003495 |
Provider Name | Erika Lancaster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053900936 PECOS PAC ID: 2860868825 Enrollment ID: I20221014002837 |
Provider Name | Amanda Diane Price |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023723053 PECOS PAC ID: 5395118582 Enrollment ID: I20230309001299 |
Haleyville Medical Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 42320 Hwy 195, Haleyville, AL 35565 Phone: 205-486-8899 Fax: 205-486-8908 | |
Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42030 Highway 195, Suite D, Haleyville, AL 35565 Phone: 615-372-8500 | |
Bankhead Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42030 Highway 195 Ste A, Haleyville, AL 35565 Phone: 205-485-7219 Fax: 205-485-7135 | |
Lakeland Community Hospital Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42030 Highway 195 Ste E, Haleyville, AL 35565 Phone: 205-485-7188 | |
Amy Traylor Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Garden Ln, Haleyville, AL 35565 Phone: 256-749-1739 | |
Lakeland Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42030 Highway 195, Suite D, Haleyville, AL 35565 Phone: 205-485-7243 |