Hayneville Family Health Center | |
511 Tuskeena St Hayneville AL 36040-0735 | |
(334) 548-2516 | |
(334) 548-2521 |
Full Name | Hayneville Family Health Center |
---|---|
Speciality | Clinic/Center |
Location | 511 Tuskeena St, Hayneville, Alabama |
Authorized Official Name and Position | Tracy Riedler (HUMAN RESOURCES DIRECTOR) |
Authorized Official Contact | 3344205001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Hayneville Family Health Center Po Box 70365 Montgomery AL 36107-0365 Ph: (334) 420-5038 | Hayneville Family Health Center 511 Tuskeena St Hayneville AL 36040-0735 Ph: (334) 548-2516 |
NPI Number | 1598788218 |
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Provider Enumeration Date | 07/25/2006 |
Last Update Date | 04/28/2020 |
Medicare PECOS PAC ID | 1557324811 |
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Medicare Enrollment ID | O20041201000952 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598788218 | NPI | - | NPPES |
01D0996056 | Other | AL | CLIA |
630007009 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Adedoyin B0dinrin Dosunmu-ogunbi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306817184 PECOS PAC ID: 0941114086 Enrollment ID: I20031230000763 |
Provider Name | Jamil Akhtar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245319144 PECOS PAC ID: 3173512142 Enrollment ID: I20040506001299 |
Provider Name | Daphne A Essex |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225090103 PECOS PAC ID: 1951366814 Enrollment ID: I20041119001049 |
Provider Name | Joseph A Ferlisi |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1891759445 PECOS PAC ID: 0749246759 Enrollment ID: I20041201001013 |
Provider Name | Vanessa Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346228871 PECOS PAC ID: 7719945385 Enrollment ID: I20041229000409 |
Provider Name | Yocunda D Clayton |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1912940453 PECOS PAC ID: 4385602648 Enrollment ID: I20050103000813 |
Provider Name | Charles L Woodley |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1760491591 PECOS PAC ID: 1557312501 Enrollment ID: I20050207000747 |
Provider Name | Karen L Dean |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942288220 PECOS PAC ID: 7416903877 Enrollment ID: I20050329000625 |
Provider Name | Gloria J Carr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306824677 PECOS PAC ID: 5890739916 Enrollment ID: I20050620000057 |
Provider Name | Steven G Omara |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215972922 PECOS PAC ID: 6305750118 Enrollment ID: I20050627000704 |
Provider Name | Roosevelt Mccorvey |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1093825127 PECOS PAC ID: 6103811567 Enrollment ID: I20060110000345 |
Provider Name | Tania C Edwards |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598768145 PECOS PAC ID: 5496725913 Enrollment ID: I20060117000844 |
Provider Name | Karen Y Kelker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992869051 PECOS PAC ID: 5294837720 Enrollment ID: I20070301000203 |
Provider Name | Stacey L Searcy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811191463 PECOS PAC ID: 2365534484 Enrollment ID: I20070823000859 |
Provider Name | Manuel Pouparinas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942240445 PECOS PAC ID: 0244278828 Enrollment ID: I20071228000039 |
Provider Name | Scott A Bell |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770675704 PECOS PAC ID: 3870677685 Enrollment ID: I20080303000402 |
Provider Name | Burnestine Taylor |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1477655355 PECOS PAC ID: 2769544907 Enrollment ID: I20081222000380 |
Provider Name | Bruce S Trippe |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1700936200 PECOS PAC ID: 5496783144 Enrollment ID: I20100831000751 |
Provider Name | George G Thomas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972526614 PECOS PAC ID: 6002005493 Enrollment ID: I20110118000181 |
Provider Name | Cynthia L Jones |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1710996772 PECOS PAC ID: 8820138209 Enrollment ID: I20110309000136 |
Provider Name | Bruce Mcalpin Jones |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437126117 PECOS PAC ID: 2466634308 Enrollment ID: I20110314000448 |
Provider Name | Courtnye Simmons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407155369 PECOS PAC ID: 7618151705 Enrollment ID: I20110414000436 |
Provider Name | Vanosia Shablee Faison |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023199817 PECOS PAC ID: 2365442126 Enrollment ID: I20110525000388 |
Provider Name | Abdulsattar Zidan |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1003072794 PECOS PAC ID: 6305072372 Enrollment ID: I20131121000873 |
Provider Name | David Rivera Toro |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487876132 PECOS PAC ID: 2264464452 Enrollment ID: I20150511001086 |
Provider Name | Evalyn Council |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548659428 PECOS PAC ID: 6608177167 Enrollment ID: I20151229001319 |
Provider Name | Constance Belser Quinn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265814958 PECOS PAC ID: 4880996057 Enrollment ID: I20160105001113 |
Provider Name | Cynthia Denise Crosby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538526603 PECOS PAC ID: 9638473770 Enrollment ID: I20160209002912 |
Provider Name | Shabnam Guard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255594479 PECOS PAC ID: 7618274226 Enrollment ID: I20160328000234 |
Provider Name | Tiffany James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154716660 PECOS PAC ID: 2961722616 Enrollment ID: I20160330000017 |
Provider Name | Randal P Sparks |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831201144 PECOS PAC ID: 4284775180 Enrollment ID: I20160411002060 |
Provider Name | Freda Simmons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922469980 PECOS PAC ID: 1850699166 Enrollment ID: I20160419002041 |
Provider Name | Margaret Lamkin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215128376 PECOS PAC ID: 7113212309 Enrollment ID: I20160826001911 |
Provider Name | Jessica Rollins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053867945 PECOS PAC ID: 3779862735 Enrollment ID: I20161115000267 |
Provider Name | Cynthia Renee Barrett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720537335 PECOS PAC ID: 4385924778 Enrollment ID: I20161130001621 |
Provider Name | Carolyn A Allman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114362696 PECOS PAC ID: 2769707553 Enrollment ID: I20170217000916 |
Provider Name | Jessica Cierea Price |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104362052 PECOS PAC ID: 9931483054 Enrollment ID: I20170308001869 |
Provider Name | Shawn Rene Howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477950350 PECOS PAC ID: 3476825290 Enrollment ID: I20170814002663 |
Provider Name | Patricia Warwick |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740623123 PECOS PAC ID: 6406102672 Enrollment ID: I20180629001542 |
Provider Name | Tiffany Danielle Felder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407381478 PECOS PAC ID: 6305115841 Enrollment ID: I20180702002850 |
Provider Name | Shameka Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144732637 PECOS PAC ID: 8729335740 Enrollment ID: I20180723002327 |
Provider Name | Jolisa Watson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053805473 PECOS PAC ID: 1052660529 Enrollment ID: I20180815004068 |
Provider Name | Evelyn P Evans |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1295871556 PECOS PAC ID: 0345304143 Enrollment ID: I20180828002525 |
Provider Name | Katrice L. Thomas |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1760939524 PECOS PAC ID: 5991087355 Enrollment ID: I20181119002347 |
Provider Name | Erin Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720577562 PECOS PAC ID: 5597009100 Enrollment ID: I20181210001185 |
Provider Name | Grace Santana |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780162024 PECOS PAC ID: 4082959721 Enrollment ID: I20181227000702 |
Provider Name | Roschanda Pullom Watkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992368054 PECOS PAC ID: 7113260852 Enrollment ID: I20190520002343 |
Provider Name | Isaiah Sankey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609055177 PECOS PAC ID: 1850624792 Enrollment ID: I20190610001062 |
Provider Name | Felicia Oji |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063933620 PECOS PAC ID: 0749514834 Enrollment ID: I20190624001601 |
Provider Name | Yolanda Patterson |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1003873167 PECOS PAC ID: 2163756107 Enrollment ID: I20190626000329 |
Provider Name | David Sahawneh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982175832 PECOS PAC ID: 8921334244 Enrollment ID: I20190724003197 |
Provider Name | Victor G Theriault |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396742318 PECOS PAC ID: 2163587759 Enrollment ID: I20190725001086 |
Provider Name | Lini Mickus |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1033343645 PECOS PAC ID: 0648506881 Enrollment ID: I20190725003814 |
Provider Name | Alicia L Moon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598236176 PECOS PAC ID: 8022344860 Enrollment ID: I20190731002523 |
Provider Name | Tameka L Myles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861958241 PECOS PAC ID: 1759619174 Enrollment ID: I20190822004540 |
Provider Name | Amy Burbage |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407418171 PECOS PAC ID: 8628401809 Enrollment ID: I20191202000406 |
Provider Name | Janet D Pouncy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699241042 PECOS PAC ID: 9335483924 Enrollment ID: I20200113000714 |
Provider Name | Chelsea Burnett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396381299 PECOS PAC ID: 7517393903 Enrollment ID: I20200203001862 |
Provider Name | Amanda Ward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710529953 PECOS PAC ID: 6709214059 Enrollment ID: I20200319001470 |
Provider Name | Jeffrey Davidson Briggs |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1548655517 PECOS PAC ID: 6406137181 Enrollment ID: I20200602002894 |
Provider Name | Rachel Kang |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1851926752 PECOS PAC ID: 8022439835 Enrollment ID: I20200603002104 |
Provider Name | Amber Kochi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386277465 PECOS PAC ID: 5890117584 Enrollment ID: I20200625002786 |
Provider Name | Sharon Gonzalez Barbosa |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1114364171 PECOS PAC ID: 1254676505 Enrollment ID: I20200715003523 |
Provider Name | Robin Garrison |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1437688280 PECOS PAC ID: 8729408984 Enrollment ID: I20201009001005 |
Provider Name | Jamie Mathis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346897907 PECOS PAC ID: 8820408826 Enrollment ID: I20201103000860 |
Provider Name | Tetyana Alvarado |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063014371 PECOS PAC ID: 4789096025 Enrollment ID: I20201210001692 |
Provider Name | Marc D Friduss |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1699702159 PECOS PAC ID: 7315350287 Enrollment ID: I20210114000382 |
Provider Name | Sabrina Nettles |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1437537297 PECOS PAC ID: 0446563431 Enrollment ID: I20210304000694 |
Provider Name | Saul J Weinreb |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1992797484 PECOS PAC ID: 7911987342 Enrollment ID: I20210310000397 |
Provider Name | Erfan M Karim |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316472863 PECOS PAC ID: 0648545160 Enrollment ID: I20210316001328 |
Provider Name | April Dailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407432347 PECOS PAC ID: 7416359468 Enrollment ID: I20210713002329 |
Provider Name | Chavona Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235724311 PECOS PAC ID: 1557763380 Enrollment ID: I20210715001790 |
Provider Name | Lori S Wilson |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1861409203 PECOS PAC ID: 3779986161 Enrollment ID: I20210722002101 |
Provider Name | Rameen Hashemiyoon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346361730 PECOS PAC ID: 6002916459 Enrollment ID: I20210803001716 |
Provider Name | Jordana Kane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164097630 PECOS PAC ID: 3476958877 Enrollment ID: I20210824000612 |
Provider Name | Geraldine Turner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114523503 PECOS PAC ID: 7618373879 Enrollment ID: I20210914000802 |
Provider Name | Amanda Gerdes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336783216 PECOS PAC ID: 5799182184 Enrollment ID: I20210928002252 |
Provider Name | Mahmood A Zaied |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1932121894 PECOS PAC ID: 2163454109 Enrollment ID: I20211208000434 |
Provider Name | Mackenzie Martin |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1639737646 PECOS PAC ID: 8426477720 Enrollment ID: I20211209001774 |
Provider Name | Katie Shiver Googe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093327199 PECOS PAC ID: 9234523242 Enrollment ID: I20220308000449 |
Provider Name | Gabrielle A Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134681950 PECOS PAC ID: 8224417514 Enrollment ID: I20220616000775 |
Provider Name | Zachary K Greene |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1083276224 PECOS PAC ID: 8527398726 Enrollment ID: I20220705001160 |
Provider Name | Lisa Danley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831763499 PECOS PAC ID: 3870962426 Enrollment ID: I20221205000340 |
Provider Name | Katrice Hollis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154657625 PECOS PAC ID: 4587706486 Enrollment ID: I20230214000587 |
Provider Name | Syed Ahmed |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477087427 PECOS PAC ID: 3678844784 Enrollment ID: I20230621001018 |
Provider Name | Kawanna Cannon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356042279 PECOS PAC ID: 4688034903 Enrollment ID: I20230719000095 |
Provider Name | Coretta Pitters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356585947 PECOS PAC ID: 3678935962 Enrollment ID: I20230818000270 |
Provider Name | Craig Pawlowski |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1528011152 PECOS PAC ID: 5698921906 Enrollment ID: I20230823001574 |
Provider Name | Maureen Dougherty |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1811330608 PECOS PAC ID: 5890919856 Enrollment ID: I20230906000556 |
Provider Name | Whitney S Evans |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386179943 PECOS PAC ID: 2062782881 Enrollment ID: I20230915001159 |
Provider Name | Nicole M Sheffield |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1275506420 PECOS PAC ID: 1850745423 Enrollment ID: I20230930000057 |
Provider Name | Adrienne Turner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194508861 PECOS PAC ID: 3072960699 Enrollment ID: I20231103000745 |
Provider Name | Eric C Walker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710515499 PECOS PAC ID: 3274986955 Enrollment ID: I20240130000238 |
Provider Name | Latisha Patten |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720613243 PECOS PAC ID: 5193168748 Enrollment ID: I20240209003713 |
Provider Name | Deshanda May |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891485249 PECOS PAC ID: 0648611491 Enrollment ID: I20240511000251 |