| Education Avenue Llc | |
|
5375 Tammy Little Dr Ste 3 Section AL 35771-7257 | |
| (256) 242-3261 | |
| Not Available |
| Full Name | Education Avenue Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5375 Tammy Little Dr Ste 3, Section, Alabama |
| Authorized Official Name and Position | Monica Payne (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2562287179 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Education Avenue Llc 5375 Tammy Little Dr Ste 3 Section AL 35771-7257 Ph: (256) 242-3261 | Education Avenue Llc 5375 Tammy Little Dr Ste 3 Section AL 35771-7257 Ph: (256) 242-3261 |
| NPI Number | 1417605585 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 05/16/2022 |
| Medicare PECOS PAC ID | 1052791316 |
|---|---|
| Medicare Enrollment ID | O20220703000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417605585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Laura Purdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20200818000683 |
| Provider Name | Joel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20230130001718 |
Amma Health Care Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 302 Main St S, Section, AL 35771 Phone: 256-259-3778 Fax: 256-259-3759 | |
Northeast Alabama Health Services Inc - Section Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 60 Main St N, Section, AL 35771 Phone: 256-228-3471 Fax: 256-228-7289 | |
Gurinder Doad Md Phd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5462 Tammy Little Dr, Section, AL 35771 Phone: 256-228-4166 Fax: 256-228-4186 |