| Elkmont Community Care | |
|
25442 Al Highway 127 Elkmont AL 35620-6608 | |
| (256) 732-3712 | |
| (256) 732-3714 |
| Full Name | Elkmont Community Care |
|---|---|
| Speciality | Family Medicine |
| Location | 25442 Al Highway 127, Elkmont, Alabama |
| Authorized Official Name and Position | Sebrina B Holt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2562169648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elkmont Community Care 25442 Al Highway 127 Elkmont AL 35620-6608 Ph: (256) 732-3712 | Elkmont Community Care 25442 Al Highway 127 Elkmont AL 35620-6608 Ph: (256) 732-3712 |
| NPI Number | 1194207084 |
|---|---|
| Provider Enumeration Date | 09/06/2018 |
| Last Update Date | 01/05/2024 |
| Medicare PECOS PAC ID | 3870830979 |
|---|---|
| Medicare Enrollment ID | O20190128002958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194207084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Wayne A Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518953900 PECOS PAC ID: 8628974003 Enrollment ID: I20031208000702 |
| Provider Name | David W Purner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083623987 PECOS PAC ID: 5698771053 Enrollment ID: I20061009000306 |
| Provider Name | Ashley Bailes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538790027 PECOS PAC ID: 1254769409 Enrollment ID: I20200321000437 |
| Provider Name | Jessica Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508320961 PECOS PAC ID: 1052740487 Enrollment ID: I20200406000671 |
| Provider Name | Tammy Mcwhirter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710517206 PECOS PAC ID: 4082615828 Enrollment ID: I20200930000304 |
| Provider Name | Traci A Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124668132 PECOS PAC ID: 8628456100 Enrollment ID: I20220613001661 |
Ability Plus, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28730 Al Highway 99, Suite D, Elkmont, AL 35620 Phone: 256-232-7222 Fax: 256-232-5100 | |
West Limestone Community Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28730 Al 99, Ste A, Elkmont, AL 35620 Phone: 256-262-6449 Fax: 256-262-6719 | |
West Limestone Family Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25678 West Limestone School Road, Elkmont, AL 35620 Phone: 256-777-6805 Fax: 256-614-1240 |