Innova Primary Care, Pc | |
247 Chateau Dr Sw Huntsville AL 35801-6401 | |
(256) 882-1510 | |
(256) 217-5838 |
Full Name | Innova Primary Care, Pc |
---|---|
Speciality | Family Medicine |
Location | 247 Chateau Dr Sw, Huntsville, Alabama |
Authorized Official Name and Position | Brooke R Uptagrafft (PHYSICIAN) |
Authorized Official Contact | 2568821510 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Innova Primary Care, Pc 247 Chateau Dr Sw Huntsville AL 35801-6401 Ph: (256) 882-1510 | Innova Primary Care, Pc 247 Chateau Dr Sw Huntsville AL 35801-6401 Ph: (256) 882-1510 |
NPI Number | 1689954240 |
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Provider Enumeration Date | 08/26/2011 |
Last Update Date | 07/12/2023 |
Medicare PECOS PAC ID | 4688845571 |
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Medicare Enrollment ID | O20110926000750 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689954240 | NPI | - | NPPES |
PENDING | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Brooke Uptagrafft |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194975342 PECOS PAC ID: 3476724360 Enrollment ID: I20110926000806 |
Provider Name | Kortni G Mccall |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639442494 PECOS PAC ID: 3678715349 Enrollment ID: I20130808000343 |
Provider Name | Amy C Pittman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215326301 PECOS PAC ID: 3678886884 Enrollment ID: I20150716002987 |
Provider Name | Kelley M Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609233352 PECOS PAC ID: 8921398009 Enrollment ID: I20160601002224 |
Provider Name | Angelia Hart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841646643 PECOS PAC ID: 3173819406 Enrollment ID: I20160912002513 |
Provider Name | Chasity D. Fortune |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417451683 PECOS PAC ID: 7719240944 Enrollment ID: I20180420001248 |
Provider Name | Allison Ballard Ruzicka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043774128 PECOS PAC ID: 4789924838 Enrollment ID: I20190327002239 |
Provider Name | Kelly Diaz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689038150 PECOS PAC ID: 9133469216 Enrollment ID: I20190327003342 |
Provider Name | Megan S Ladner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720627441 PECOS PAC ID: 0547699282 Enrollment ID: I20200401002237 |
Provider Name | Hannah Bowers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942707427 PECOS PAC ID: 0941603401 Enrollment ID: I20210722000311 |
Provider Name | Dajah T Souife |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053917856 PECOS PAC ID: 7810394111 Enrollment ID: I20210929003313 |
Provider Name | Haley Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558021055 PECOS PAC ID: 8123412285 Enrollment ID: I20220307000853 |
Provider Name | Shelby Lynn Jamieson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801557939 PECOS PAC ID: 1456745413 Enrollment ID: I20220308002482 |
Provider Name | Elina Wells |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053764027 PECOS PAC ID: 3274816632 Enrollment ID: I20220607000943 |
Provider Name | Robert Logan Staples |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225658248 PECOS PAC ID: 2163844127 Enrollment ID: I20230821000258 |
Provider Name | Heath Dennison Donahue |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821617630 PECOS PAC ID: 4385074996 Enrollment ID: I20230821002924 |
Provider Name | Kendall Frawley Teachey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770273807 PECOS PAC ID: 2769845650 Enrollment ID: I20230824003246 |
Provider Name | Madison Marie Schieber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447037692 PECOS PAC ID: 7012368491 Enrollment ID: I20240110002004 |
Provider Name | Leah W Keith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922712744 PECOS PAC ID: 9739552449 Enrollment ID: I20240221004046 |
Provider Name | Michelle Scallan Baggett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609646512 PECOS PAC ID: 7416397500 Enrollment ID: I20240507001342 |
Provider Name | Katherine Mann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962106278 PECOS PAC ID: 1951742352 Enrollment ID: I20240516001768 |
Provider Name | Shelly Kristin Montalvo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255101069 PECOS PAC ID: 2567804610 Enrollment ID: I20240521004064 |
Bptcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 Longwood Dr, Sw, Huntsville, AL 35801 Phone: 256-534-5946 Fax: 256-534-3041 | |
Inspirational Counseling Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 Market St Ste 100, Huntsville, AL 35808 Phone: 256-210-4925 | |
Gleneagles Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1102 Gleneagles Dr Sw, Huntsville, AL 35801 Phone: 256-881-5880 Fax: 256-883-3280 | |
Magnolia Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4245 Balmoral Dr Sw Ste 102, Huntsville, AL 35801 Phone: 256-203-6676 Fax: 833-979-0980 | |
Five Points Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Pratt Ave Ne, Huntsville, AL 35801 Phone: 256-714-3363 | |
Davis Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7850 Memorial Pkwy Sw, Huntsville, AL 35802 Phone: 256-882-0132 Fax: 256-882-1461 | |
Crestani Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2745 Bob Wallace Ave Sw, Suite D, Huntsville, AL 35805 Phone: 256-534-1323 Fax: 256-534-1780 |