Fort Payne Clinic Corp. | |
200 Medical Center Drive Attn: Director Of Physician Practices Fort Payne AL 35960 | |
(256) 845-3150 | |
(256) 997-2512 |
Full Name | Fort Payne Clinic Corp. |
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Speciality | Internal Medicine |
Location | 200 Medical Center Drive, Fort Payne, Alabama |
Authorized Official Name and Position | Laura J Fey (SR. DIRECTOR PHYSICIAN REV CYCLE) |
Authorized Official Contact | 6152213641 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fort Payne Clinic Corp. Po Box 5009 Brentwood TN 37024-5009 Ph: (615) 221-3641 | Fort Payne Clinic Corp. 200 Medical Center Drive Attn: Director Of Physician Practices Fort Payne AL 35960 Ph: (256) 845-3150 |
NPI Number | 1396764395 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 07/07/2023 |
Medicare PECOS PAC ID | 5698779304 |
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Medicare Enrollment ID | O20060912000391 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396764395 | NPI | - | NPPES |
529930410 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
Provider Name | Mohamed A Ahmed |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1366444861 PECOS PAC ID: 0840195350 Enrollment ID: I20031205000673 |
Provider Name | Susan Ann Parker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376508218 PECOS PAC ID: 4587659511 Enrollment ID: I20040419000444 |
Provider Name | Anthony Clark Sims |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992786636 PECOS PAC ID: 3577533900 Enrollment ID: I20040812001118 |
Provider Name | Darren P Gannuch |
---|---|
Provider Type | Practitioner - Sleep Medicine |
Provider Identifiers | NPI Number: 1669401709 PECOS PAC ID: 3678531977 Enrollment ID: I20050103000355 |
Provider Name | William Cox |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1952353153 PECOS PAC ID: 7618960253 Enrollment ID: I20050119001098 |
Provider Name | Larry Barton Mitchell |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1710067160 PECOS PAC ID: 3173564614 Enrollment ID: I20050516000461 |
Provider Name | Shannon Simpson Morgan |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1114038189 PECOS PAC ID: 6800829706 Enrollment ID: I20050912001043 |
Provider Name | Tony A White |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1659314615 PECOS PAC ID: 5395770689 Enrollment ID: I20051005000990 |
Provider Name | Luz J Crystal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972544153 PECOS PAC ID: 4183649445 Enrollment ID: I20051006000330 |
Provider Name | John H Jones |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386686392 PECOS PAC ID: 8921011552 Enrollment ID: I20060905000459 |
Provider Name | Dedra L Capps |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114027513 PECOS PAC ID: 5092715938 Enrollment ID: I20061228000100 |
Provider Name | James Russell Hutcherson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477756542 PECOS PAC ID: 9537249610 Enrollment ID: I20080102000019 |
Provider Name | Ricky G Deerman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043281975 PECOS PAC ID: 3375554678 Enrollment ID: I20080407000059 |
Provider Name | Wael I Al Halaseh |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1760645311 PECOS PAC ID: 5698836278 Enrollment ID: I20081202000449 |
Provider Name | Steven A Isbell |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1881659084 PECOS PAC ID: 3779533476 Enrollment ID: I20100208000637 |
Provider Name | Gary Allen Mellick |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1780641506 PECOS PAC ID: 1951389550 Enrollment ID: I20100625000376 |
Provider Name | Jason A Ham |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245560796 PECOS PAC ID: 5395929889 Enrollment ID: I20110407000291 |
Provider Name | Paul Gilreath |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1124229117 PECOS PAC ID: 1355529249 Enrollment ID: I20110623000488 |
Provider Name | Scott B Argo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285963421 PECOS PAC ID: 3971777350 Enrollment ID: I20111121000747 |
Provider Name | Ashley W Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497027684 PECOS PAC ID: 5395904288 Enrollment ID: I20120313000411 |
Provider Name | Ashley R Cole |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1841424959 PECOS PAC ID: 2860656071 Enrollment ID: I20120619000186 |
Provider Name | Brittany Lynn Clements |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447642731 PECOS PAC ID: 0143541847 Enrollment ID: I20150606000036 |
Provider Name | Mary K Dunne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013386184 PECOS PAC ID: 9931418365 Enrollment ID: I20151026000403 |
Provider Name | Andrew Barrett Hester |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1831312438 PECOS PAC ID: 1052589876 Enrollment ID: I20160715000494 |
Provider Name | Ginger Gladden Medders |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134488174 PECOS PAC ID: 3779716352 Enrollment ID: I20160907002181 |
Provider Name | Cierra Jennings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538694971 PECOS PAC ID: 4082981840 Enrollment ID: I20170525002551 |
Provider Name | Katherine Hurtt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790221901 PECOS PAC ID: 9335416767 Enrollment ID: I20170606001503 |
Provider Name | Walter Lee Beard |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1396032983 PECOS PAC ID: 4284953019 Enrollment ID: I20170809003162 |
Provider Name | Rebecca Workman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447695739 PECOS PAC ID: 2062639305 Enrollment ID: I20171113001659 |
Provider Name | Tyson S Rainer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407363146 PECOS PAC ID: 3375806185 Enrollment ID: I20180409001915 |
Provider Name | Shannon Hilley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013411065 PECOS PAC ID: 7113275918 Enrollment ID: I20180810001817 |
Provider Name | Shelly Smith Laney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750881496 PECOS PAC ID: 8527316264 Enrollment ID: I20181025001869 |
Provider Name | Robert Boatwright |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1578730784 PECOS PAC ID: 0840438214 Enrollment ID: I20210607002288 |
Provider Name | Eleanor Isbell Mathews |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1982051116 PECOS PAC ID: 0143624916 Enrollment ID: I20210802002799 |
Provider Name | Katherine Elizabeth Woods |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083111579 PECOS PAC ID: 1052715455 Enrollment ID: I20210806002278 |
Provider Name | Marja Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144815002 PECOS PAC ID: 9537555438 Enrollment ID: I20220401000039 |
Provider Name | Barla Marie Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568600617 PECOS PAC ID: 7719272590 Enrollment ID: I20230905003708 |
C & H Discount Drugs Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1916 Gault Ave N, Fort Payne, AL 35967 Phone: 256-845-2004 Fax: 256-845-7839 | |
Hh Health System - Dekalb Rhc, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 Medical Center Dr Sw, Fort Payne, AL 35968 Phone: 256-997-2145 Fax: 256-997-2512 | |
Rainsville Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Medical Center Dr Sw, Fort Payne, AL 35968 Phone: 256-845-1401 Fax: 256-845-1402 | |
Dekalb Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 Medical Center Dr Sw, Fort Payne, AL 35968 Phone: 256-997-2820 Fax: 256-997-2890 | |
Northside Medical, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 Greenhill Blvd Nw, Fort Payne, AL 35967 Phone: 256-845-9355 | |
Doctors Med Care Of Fort Payne, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Glenn Blvd Sw, Fort Payne, AL 35967 Phone: 256-845-6900 Fax: 256-845-6905 | |
Truecare Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 613 Gault Ave S, Fort Payne, AL 35967 Phone: 256-364-8875 Fax: 256-364-8875 |