| Fairhope Family Medicine, Llc | |
|
21875 State Highway 181 Fairhope AL 36532 | |
| (251) 928-1442 | |
| Not Available |
| Full Name | Fairhope Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 21875 State Highway 181, Fairhope, Alabama |
| Authorized Official Name and Position | Regan Mary Andrade (OWNER) |
| Authorized Official Contact | 2519281442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairhope Family Medicine, Llc 21875 State Highway 181 Fairhope AL 36532-1265 Ph: (251) 928-1442 | Fairhope Family Medicine, Llc 21875 State Highway 181 Fairhope AL 36532 Ph: (251) 928-1442 |
| NPI Number | 1821151093 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 09/12/2012 |
| Medicare PECOS PAC ID | 1052311230 |
|---|---|
| Medicare Enrollment ID | O20070111000599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821151093 | NPI | - | NPPES |
| 1851370266 | Other | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD27544 (Alabama) | Primary |
| Provider Name | Regan M Andrade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851370266 PECOS PAC ID: 0941266696 Enrollment ID: I20070111000593 |
| Provider Name | Lea T Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801238795 PECOS PAC ID: 4688818404 Enrollment ID: I20130918000186 |
| Provider Name | Cameron Townsend Corte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083034888 PECOS PAC ID: 8123381563 Enrollment ID: I20190730002620 |
| Provider Name | Haley E Stuart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396397774 PECOS PAC ID: 2961662408 Enrollment ID: I20191009001102 |
| Provider Name | Maggie Mae Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366098642 PECOS PAC ID: 9133458664 Enrollment ID: I20210514000719 |
| Provider Name | Tiffany Amber Merchant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659099257 PECOS PAC ID: 0244607349 Enrollment ID: I20221102001887 |
Self Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 S Greeno Rd, Suite A, Fairhope, AL 36532 Phone: 251-928-8760 Fax: 251-928-7028 | |
Prestige Telemedicine Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Cumberland Rd, Fairhope, AL 36532 Phone: 251-517-4411 | |
Infiniti Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Saint Charles Ct, Fairhope, AL 36532 Phone: 888-212-4243 | |
Fulton G. De Four, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 750 Morphy Ave, Fairhope, AL 36532 Phone: 251-752-8235 | |
Baldwin Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21950 State Highway 181 Ste A, Fairhope, AL 36532 Phone: 251-621-6520 Fax: 251-621-6521 | |
Self And Self Company, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Greeno Rd S, Suite A, Fairhope, AL 36532 Phone: 251-928-8760 Fax: 251-928-7028 | |
Shehryar Anjum, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Morphy Ave, Fairhope, AL 36532 Phone: 251-928-2375 |