| Traditions Health | |
|
3005 Citizens Pkwy Selma AL 36701-3918 | |
| (334) 418-0566 | |
| Not Available |
| Full Name | Traditions Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 3005 Citizens Pkwy, Selma, Alabama |
| Authorized Official Name and Position | John Kerndl (CFO & SECRETARY) |
| Authorized Official Contact | 9797046547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Traditions Health 6840 Carothers Pkwy Ste 550 Franklin TN 37067-8002 Ph: (979) 704-6547 | Traditions Health 3005 Citizens Pkwy Selma AL 36701-3918 Ph: (334) 418-0566 |
| NPI Number | 1609509371 |
|---|---|
| Provider Enumeration Date | 07/08/2022 |
| Last Update Date | 06/21/2024 |
| Medicare PECOS PAC ID | 4486976206 |
|---|---|
| Medicare Enrollment ID | O20220816003365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609509371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Ikram Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760492466 PECOS PAC ID: 5698757771 Enrollment ID: I20040602001439 |
| Provider Name | Katherine A Hensleigh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841273646 PECOS PAC ID: 0547229825 Enrollment ID: I20070226000507 |
| Provider Name | Robert K Nichols |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013069939 PECOS PAC ID: 8426238924 Enrollment ID: I20110215000490 |
| Provider Name | Danny P Ingram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689608747 PECOS PAC ID: 1557544921 Enrollment ID: I20110322000781 |
| Provider Name | Sean B Bohannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881851491 PECOS PAC ID: 2961689518 Enrollment ID: I20110712000058 |
| Provider Name | Vernadette Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922423425 PECOS PAC ID: 1557587870 Enrollment ID: I20140723000577 |
| Provider Name | Renee L Bontrager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164837563 PECOS PAC ID: 9537389499 Enrollment ID: I20140929000869 |
| Provider Name | Richard S Vinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912357617 PECOS PAC ID: 5799070967 Enrollment ID: I20160826001425 |
| Provider Name | Jeremy Pfeil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174971543 PECOS PAC ID: 5799071080 Enrollment ID: I20160913001969 |
| Provider Name | Christina Elizabeth Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386173060 PECOS PAC ID: 7618240136 Enrollment ID: I20170906000412 |
| Provider Name | Shenella Carlisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235641267 PECOS PAC ID: 8921353400 Enrollment ID: I20180625002524 |
| Provider Name | Qunitela Clopton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275132185 PECOS PAC ID: 9830596832 Enrollment ID: I20210917000992 |
| Provider Name | Ashley Jones Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760155907 PECOS PAC ID: 0840698106 Enrollment ID: I20211018001713 |
| Provider Name | Byron J Hathorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023749231 PECOS PAC ID: 2365819406 Enrollment ID: I20221103000122 |
Selma Medical Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 901 Medical Center Pkwy, Selma, AL 36701 Phone: 334-875-2640 Fax: 334-875-2645 | |
Cyriac Madathikunnel, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 Medical Center Pkwy, Frist Howell Building # 3, Selma, AL 36701 Phone: 334-872-3339 Fax: 334-872-6200 | |
Vaughan Medical Specialty Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 Medical Center Pkwy, Suite 310, Selma, AL 36701 Phone: 334-418-6656 Fax: 334-418-6657 | |
Davis Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 223 Dallas Ave, Selma, AL 36701 Phone: 334-874-0017 Fax: 334-872-6563 | |
Vaughan Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 Medical Center Pkwy Bldg 2, Selma, AL 36701 Phone: 334-418-4113 Fax: 334-418-3599 | |
Das & Das M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 Medical Center Pkwy, Medical Arts Building Ii, Selma, AL 36701 Phone: 334-875-2266 Fax: 334-875-2277 |