| Enterprise Clinic Llc | |
|
805 E Lee St Ste C Enterprise AL 36330-2093 | |
| (334) 348-8818 | |
| Not Available |
| Full Name | Enterprise Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 805 E Lee St, Enterprise, Alabama |
| Authorized Official Name and Position | Debbie Brewer (DIRECTOR) |
| Authorized Official Contact | 6154657626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enterprise Clinic Llc 7100 Commerce Way Ste 180 Brentwood TN 37027-2829 Ph: (615) 465-7000 | Enterprise Clinic Llc 805 E Lee St Ste C Enterprise AL 36330-2093 Ph: (334) 348-8818 |
| NPI Number | 1639491616 |
|---|---|
| Provider Enumeration Date | 02/18/2010 |
| Last Update Date | 02/18/2010 |
| Medicare PECOS PAC ID | 1456488667 |
|---|---|
| Medicare Enrollment ID | O20100420000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639491616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | John Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669453767 PECOS PAC ID: 7719945146 Enrollment ID: I20041230000568 |
| Provider Name | Rick A Harrelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578512083 PECOS PAC ID: 9830148865 Enrollment ID: I20050118000315 |
| Provider Name | Richard Ray Cunningham |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841258662 PECOS PAC ID: 3072571777 Enrollment ID: I20060607000300 |
| Provider Name | Cecilia R Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487600607 PECOS PAC ID: 3678586542 Enrollment ID: I20060718000227 |
| Provider Name | Reza David Seirafi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316904030 PECOS PAC ID: 5294746566 Enrollment ID: I20090622000359 |
| Provider Name | Samuel Felix Sawyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225022643 PECOS PAC ID: 3577667138 Enrollment ID: I20100830000427 |
| Provider Name | Richard Allen Roller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487610564 PECOS PAC ID: 0042467441 Enrollment ID: I20120820000741 |
| Provider Name | Renee Blount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932463072 PECOS PAC ID: 3173770849 Enrollment ID: I20120831000252 |
| Provider Name | Kimberly Dawn Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205249869 PECOS PAC ID: 1254559024 Enrollment ID: I20140820002595 |
| Provider Name | Jessica Jill Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285028928 PECOS PAC ID: 1355662024 Enrollment ID: I20150605001972 |
| Provider Name | Jason M Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770966202 PECOS PAC ID: 3274843727 Enrollment ID: I20151112001453 |
| Provider Name | Sharon Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962478198 PECOS PAC ID: 4082622329 Enrollment ID: I20151118000920 |
| Provider Name | Nikki Lashay Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902204258 PECOS PAC ID: 5395063507 Enrollment ID: I20170420001259 |
| Provider Name | Ghassan Dalati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457456881 PECOS PAC ID: 6406891332 Enrollment ID: I20171004001831 |
| Provider Name | Cherie Mulhern Colbert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376076570 PECOS PAC ID: 4789952755 Enrollment ID: I20220713000412 |
| Provider Name | Glenn E Summers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982694378 PECOS PAC ID: 5799741609 Enrollment ID: I20230221000975 |
| Provider Name | Daniel P Alexander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760423784 PECOS PAC ID: 9537178496 Enrollment ID: I20240111003095 |
Professional Medical Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Brunson St, Suite 200, Enterprise, AL 36330 Phone: 334-393-3686 Fax: 334-347-4906 | |
By His Grace Primary Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 806 Glover Ave Ste A, Enterprise, AL 36330 Phone: 334-475-2680 Fax: 334-475-2681 | |
David H. Hayes, M.d., L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 Glover Ave, Suite B, Enterprise, AL 36330 Phone: 334-347-0991 Fax: 334-347-1805 | |
New Horizons Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1018 Rucker Blvd Ste A, Enterprise, AL 36330 Phone: 334-347-4343 Fax: 334-393-9611 | |
Hillside Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 Boll Weevil Cir, Suite B, Enterprise, AL 36330 Phone: 334-475-2067 | |
Fast Pace Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1026 Boll Weevil Circle, Enterprise, AL 36330 Phone: 931-253-1110 | |
Stephen R Brandt Md Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 E Watts St, Enterprise, AL 36330 Phone: 334-393-5437 Fax: 334-393-4185 |