| Crmc Medical Group | |
|
1948 Al Highway 157 Ste 450 Cullman AL 35058-0643 | |
| (256) 735-5075 | |
| (256) 735-5076 |
| Full Name | Crmc Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1948 Al Highway 157 Ste 450, Cullman, Alabama |
| Authorized Official Name and Position | Nesha Donaldson (COO) |
| Authorized Official Contact | 2567372598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crmc Medical Group Po Box 2895 Cullman AL 35056-2895 Ph: (256) 735-5071 | Crmc Medical Group 1948 Al Highway 157 Ste 450 Cullman AL 35058-0643 Ph: (256) 735-5075 |
| NPI Number | 1467083675 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 11/29/2022 |
| Medicare PECOS PAC ID | 8729419874 |
|---|---|
| Medicare Enrollment ID | O20200506000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467083675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Bahador Tafazoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811984149 PECOS PAC ID: 5193700870 Enrollment ID: I20040618001012 |
| Provider Name | John G Wideman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336255728 PECOS PAC ID: 7618944653 Enrollment ID: I20040910000542 |
| Provider Name | Edward F Mahan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174523617 PECOS PAC ID: 3173424918 Enrollment ID: I20050614000355 |
| Provider Name | Tracy L Neal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881664258 PECOS PAC ID: 7113942111 Enrollment ID: I20051010000152 |
| Provider Name | Darryle P Bullard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245288653 PECOS PAC ID: 9931104429 Enrollment ID: I20060915000098 |
| Provider Name | Kimberly A Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831126267 PECOS PAC ID: 7416952668 Enrollment ID: I20060922000182 |
| Provider Name | Joseph R Jowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689641367 PECOS PAC ID: 3072518810 Enrollment ID: I20060928000524 |
| Provider Name | Vincent F Bergquist |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174595912 PECOS PAC ID: 7911969241 Enrollment ID: I20080625000490 |
| Provider Name | Randy J Yarbrough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134197361 PECOS PAC ID: 6002857174 Enrollment ID: I20080709000251 |
| Provider Name | Glenda C Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538312715 PECOS PAC ID: 5597825265 Enrollment ID: I20081202000239 |
| Provider Name | William E Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902853914 PECOS PAC ID: 4082619226 Enrollment ID: I20100427000760 |
| Provider Name | John W Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033152525 PECOS PAC ID: 8729083969 Enrollment ID: I20100518000248 |
| Provider Name | Thomas A Richard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750315511 PECOS PAC ID: 5698806404 Enrollment ID: I20100623000174 |
| Provider Name | Robert Ocampo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255387411 PECOS PAC ID: 7012040132 Enrollment ID: I20100727000004 |
| Provider Name | John Randolph Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487767224 PECOS PAC ID: 1456475169 Enrollment ID: I20100902000290 |
| Provider Name | James Shu-lei Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124100979 PECOS PAC ID: 7618169897 Enrollment ID: I20101006000439 |
| Provider Name | Robin K Crampsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750682753 PECOS PAC ID: 9739361767 Enrollment ID: I20110311000110 |
| Provider Name | Nichole L Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295033579 PECOS PAC ID: 2668658576 Enrollment ID: I20110510000755 |
| Provider Name | Perry Lance Justice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902061542 PECOS PAC ID: 3870764475 Enrollment ID: I20110912000116 |
| Provider Name | Adam Roger Hensley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912187550 PECOS PAC ID: 4486843398 Enrollment ID: I20111024000119 |
| Provider Name | Christopher M Kelsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033555214 PECOS PAC ID: 7315173390 Enrollment ID: I20131121001109 |
| Provider Name | Stephen Gould |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063656858 PECOS PAC ID: 6305068693 Enrollment ID: I20141121001243 |
| Provider Name | Shannon Lynn Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568851491 PECOS PAC ID: 2668799644 Enrollment ID: I20150401000795 |
| Provider Name | Elizabeth R Elmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831588748 PECOS PAC ID: 6800115783 Enrollment ID: I20150427000568 |
| Provider Name | Amanda K Adcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730579889 PECOS PAC ID: 7416276910 Enrollment ID: I20150505002101 |
| Provider Name | James Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427443944 PECOS PAC ID: 2567771264 Enrollment ID: I20151020002128 |
| Provider Name | Sheli M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447634019 PECOS PAC ID: 5890005805 Enrollment ID: I20151103002568 |
| Provider Name | Christy Darline Myrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902287295 PECOS PAC ID: 6002116076 Enrollment ID: I20151123002174 |
| Provider Name | Ace Beam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962949222 PECOS PAC ID: 3678840394 Enrollment ID: I20170601000737 |
| Provider Name | Katie Basch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326583493 PECOS PAC ID: 3870860414 Enrollment ID: I20170601001968 |
| Provider Name | James D Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144766163 PECOS PAC ID: 6507134319 Enrollment ID: I20170620002862 |
| Provider Name | Ashley Godfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316485865 PECOS PAC ID: 6406128990 Enrollment ID: I20170817003205 |
| Provider Name | Conrad Lane Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558854851 PECOS PAC ID: 8224389747 Enrollment ID: I20180923000001 |
| Provider Name | Carlos Villar-gosalvez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548422868 PECOS PAC ID: 7517033764 Enrollment ID: I20190718001981 |
| Provider Name | Jenna Cox Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144799693 PECOS PAC ID: 1153657937 Enrollment ID: I20190731004190 |
| Provider Name | Stephanie Nicole Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386291383 PECOS PAC ID: 7618209578 Enrollment ID: I20191024003161 |
| Provider Name | Sarah Stapelmann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942787213 PECOS PAC ID: 7214364488 Enrollment ID: I20200227002476 |
| Provider Name | Phillip Kravetz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881660264 PECOS PAC ID: 9830151703 Enrollment ID: I20200504002663 |
| Provider Name | Brittany Taylor Massengill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497109912 PECOS PAC ID: 0648563809 Enrollment ID: I20200615000065 |
| Provider Name | Connor Andrew Ojard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376922823 PECOS PAC ID: 5193028439 Enrollment ID: I20200616001856 |
| Provider Name | Haley Elizabeth Mabrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598284739 PECOS PAC ID: 3274955463 Enrollment ID: I20200616002504 |
| Provider Name | William Matthew Sykes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760831028 PECOS PAC ID: 7416240320 Enrollment ID: I20200701000517 |
| Provider Name | William Tennant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871026609 PECOS PAC ID: 2961789888 Enrollment ID: I20200808000147 |
| Provider Name | Gregory Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083093652 PECOS PAC ID: 5294164356 Enrollment ID: I20200819000787 |
| Provider Name | Lacy Dotson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871185934 PECOS PAC ID: 5799193868 Enrollment ID: I20210409002197 |
| Provider Name | Shahdeen Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851898399 PECOS PAC ID: 7416365903 Enrollment ID: I20210422000590 |
| Provider Name | Thomas Cameron Brimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467957993 PECOS PAC ID: 9931503455 Enrollment ID: I20210805002107 |
| Provider Name | Sampath Singireddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922414440 PECOS PAC ID: 2264735158 Enrollment ID: I20210818003145 |
| Provider Name | Natalie Melissa Livingston |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811653488 PECOS PAC ID: 7012307291 Enrollment ID: I20211201003118 |
| Provider Name | John Daniel Whaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932745205 PECOS PAC ID: 7113310145 Enrollment ID: I20220215001179 |
| Provider Name | Muhammad Salman Siddiqi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689839698 PECOS PAC ID: 2567696982 Enrollment ID: I20220505001944 |
| Provider Name | Jessica L. Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912637943 PECOS PAC ID: 4082094248 Enrollment ID: I20220706000029 |
| Provider Name | Kurt Blake |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1265964803 PECOS PAC ID: 6709208473 Enrollment ID: I20220708002211 |
| Provider Name | Tyler James Rushforth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114436219 PECOS PAC ID: 0244668176 Enrollment ID: I20220721002263 |
| Provider Name | Aesha Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134649056 PECOS PAC ID: 8123398401 Enrollment ID: I20220914003850 |
| Provider Name | Lauren Mcguire Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801432067 PECOS PAC ID: 0941676407 Enrollment ID: I20221025001112 |
| Provider Name | Stefania Aquite Solano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598477705 PECOS PAC ID: 6204207509 Enrollment ID: I20230125000000 |
| Provider Name | Kenneth Robert Murray |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265594733 PECOS PAC ID: 6800831520 Enrollment ID: I20230208002608 |
| Provider Name | Kasey Danielle Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346953437 PECOS PAC ID: 3870967722 Enrollment ID: I20230316001538 |
| Provider Name | Matthew Alan Young |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457589327 PECOS PAC ID: 9739309519 Enrollment ID: I20230418000132 |
| Provider Name | Joseph Patrick Forester |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1972520658 PECOS PAC ID: 3476648650 Enrollment ID: I20230426002292 |
| Provider Name | D'lisa Ann Bitterly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528321338 PECOS PAC ID: 8325404973 Enrollment ID: I20230524000591 |
| Provider Name | Audrey Kos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699302174 PECOS PAC ID: 3375968340 Enrollment ID: I20230526001031 |
| Provider Name | Victoria Underwood Clay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154826931 PECOS PAC ID: 3577923804 Enrollment ID: I20230719000637 |
| Provider Name | Bailey Callahan Meherg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831623560 PECOS PAC ID: 8628438686 Enrollment ID: I20230721002495 |
| Provider Name | Lauren C Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114542396 PECOS PAC ID: 0042635443 Enrollment ID: I20230726001450 |
| Provider Name | Marie Nicole Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912533878 PECOS PAC ID: 0941661227 Enrollment ID: I20230802003675 |
| Provider Name | Samantha Legg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316700560 PECOS PAC ID: 9638516289 Enrollment ID: I20240319002463 |
Family Medicine Of Cullman Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Main Ave Sw, Cullman, AL 35055 Phone: 256-642-9821 | |
North Alabama Medical Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 2nd Ave Se, Cullman, AL 35055 Phone: 256-739-4144 Fax: 256-739-4595 | |
Cullman Regional Hospitalist Services, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1912 Al Highway 157, Cullman, AL 35058 Phone: 256-255-0228 Fax: 256-739-8350 | |
Cullman Primary Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 Clark St Ne, Cullman, AL 35055 Phone: 256-734-3202 Fax: 256-734-4668 | |
Cullman Heart & Urgent Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1803 Park View Dr, Cullman, AL 35058 Phone: 256-255-1900 Fax: 256-255-1937 | |
Hawkins Medical And Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 3rd Ave Se Ste 145, Cullman, AL 35055 Phone: 318-422-3876 | |
Cullman Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1800 Al Highway 157 Ste 100, Cullman, AL 35058 Phone: 256-739-4131 Fax: 256-739-6027 |