| Inri Medical Associates, Pc | |
|
70 Plaza Dr Pell City AL 35125-9314 | |
| (205) 814-9284 | |
| (205) 814-9626 |
| Full Name | Inri Medical Associates, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 70 Plaza Dr, Pell City, Alabama |
| Authorized Official Name and Position | Laura M Gossett (ADMINISTRATOR) |
| Authorized Official Contact | 2058147202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inri Medical Associates, Pc 70 Plaza Dr Pell City AL 35125-9314 Ph: (205) 814-9284 | Inri Medical Associates, Pc 70 Plaza Dr Pell City AL 35125-9314 Ph: (205) 814-9284 |
| NPI Number | 1831103837 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 02/07/2018 |
| Medicare PECOS PAC ID | 0749270197 |
|---|---|
| Medicare Enrollment ID | O20040517000780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831103837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Phillip A Triantos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104821297 PECOS PAC ID: 9931003035 Enrollment ID: I20031120000864 |
| Provider Name | Lea C Clayton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376651992 PECOS PAC ID: 3375446891 Enrollment ID: I20040130000695 |
| Provider Name | Steven Ross Parris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902869910 PECOS PAC ID: 1355327495 Enrollment ID: I20040628001605 |
| Provider Name | Michael D Dupre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104802495 PECOS PAC ID: 4981665585 Enrollment ID: I20041026000446 |
| Provider Name | Sara Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912914185 PECOS PAC ID: 3779520705 Enrollment ID: I20050412000503 |
| Provider Name | Jeremy W Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447287115 PECOS PAC ID: 4284648023 Enrollment ID: I20060131000678 |
| Provider Name | Jennifer J St John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649222027 PECOS PAC ID: 0042219032 Enrollment ID: I20061221000149 |
| Provider Name | Beverly A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467549139 PECOS PAC ID: 6608877931 Enrollment ID: I20070129000582 |
| Provider Name | Robert P Eichelberger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427030642 PECOS PAC ID: 1254237241 Enrollment ID: I20070511000471 |
| Provider Name | Clinton R Waggoner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235344011 PECOS PAC ID: 4688745763 Enrollment ID: I20080617000525 |
| Provider Name | Lori D Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710949912 PECOS PAC ID: 1951473404 Enrollment ID: I20080628000106 |
| Provider Name | George M Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467487843 PECOS PAC ID: 2163594607 Enrollment ID: I20090109000572 |
| Provider Name | Ronald W Helms |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871579268 PECOS PAC ID: 2264422617 Enrollment ID: I20101213000884 |
| Provider Name | William Mcclanahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518944669 PECOS PAC ID: 1153311501 Enrollment ID: I20101213000955 |
| Provider Name | Carl T Frosina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558346312 PECOS PAC ID: 9234129685 Enrollment ID: I20101214000099 |
| Provider Name | Vanessa Lambert Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053634386 PECOS PAC ID: 9335326214 Enrollment ID: I20110601000415 |
| Provider Name | Thomas Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245244391 PECOS PAC ID: 4789572967 Enrollment ID: I20110801000226 |
| Provider Name | Catherine Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235145004 PECOS PAC ID: 0244254779 Enrollment ID: I20111103000361 |
| Provider Name | Kelsie W Roulaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124397286 PECOS PAC ID: 2466611488 Enrollment ID: I20120312000455 |
| Provider Name | Scott C Boyken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245551878 PECOS PAC ID: 8325203490 Enrollment ID: I20120625000065 |
| Provider Name | Sue W Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497876031 PECOS PAC ID: 3971757873 Enrollment ID: I20130130000282 |
| Provider Name | Robert Lester Whitmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346358991 PECOS PAC ID: 1254436413 Enrollment ID: I20130925000695 |
| Provider Name | Carl H Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427317494 PECOS PAC ID: 9638305238 Enrollment ID: I20131203001279 |
| Provider Name | Lisa Michelle Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164850954 PECOS PAC ID: 1951532183 Enrollment ID: I20140401000525 |
| Provider Name | Casey L Crumb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700225646 PECOS PAC ID: 4284859661 Enrollment ID: I20140626001580 |
| Provider Name | Stephen Bradford Fortson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073819058 PECOS PAC ID: 8628298643 Enrollment ID: I20140925000894 |
| Provider Name | Haley C White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356753347 PECOS PAC ID: 8224352018 Enrollment ID: I20150127001614 |
| Provider Name | Ebonee R Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114226818 PECOS PAC ID: 7315267069 Enrollment ID: I20150520000256 |
| Provider Name | Sara C Beadles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649664459 PECOS PAC ID: 4284945205 Enrollment ID: I20150617002466 |
| Provider Name | Jonathan A Windham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700272127 PECOS PAC ID: 1850602210 Enrollment ID: I20150625002175 |
| Provider Name | Bradley Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700267507 PECOS PAC ID: 7315255072 Enrollment ID: I20150929001864 |
| Provider Name | Traci Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497127831 PECOS PAC ID: 3476853516 Enrollment ID: I20151123000627 |
| Provider Name | Kimberli Clinkscales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396103123 PECOS PAC ID: 4385941509 Enrollment ID: I20160401000754 |
| Provider Name | Emily Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952765794 PECOS PAC ID: 5799076808 Enrollment ID: I20160621001713 |
| Provider Name | Kaley Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659725786 PECOS PAC ID: 6002107984 Enrollment ID: I20160623001666 |
| Provider Name | Celeste R Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801245352 PECOS PAC ID: 3971897554 Enrollment ID: I20160804000354 |
| Provider Name | Annjerald Devance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629437785 PECOS PAC ID: 2163716408 Enrollment ID: I20160809000763 |
| Provider Name | Jolie S Wildinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912368887 PECOS PAC ID: 5395032189 Enrollment ID: I20160922000061 |
| Provider Name | Cassie Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992256010 PECOS PAC ID: 3476833104 Enrollment ID: I20161214002503 |
| Provider Name | Mary B Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790910891 PECOS PAC ID: 6406132604 Enrollment ID: I20170424000180 |
| Provider Name | Katelyn Campisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386184612 PECOS PAC ID: 6406133131 Enrollment ID: I20170508000951 |
| Provider Name | James Crumb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265971097 PECOS PAC ID: 4082988977 Enrollment ID: I20170915000680 |
| Provider Name | Jessica Benedicta Coby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043759426 PECOS PAC ID: 5395019756 Enrollment ID: I20170922003023 |
| Provider Name | Andrew T Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194138842 PECOS PAC ID: 3375819360 Enrollment ID: I20171018002338 |
| Provider Name | Raul Edgardo Paraliticci |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174575336 PECOS PAC ID: 6204731193 Enrollment ID: I20180619001641 |
| Provider Name | Brittany Haverland Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538650270 PECOS PAC ID: 9638421142 Enrollment ID: I20181011001096 |
| Provider Name | Mary Page H Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700956265 PECOS PAC ID: 0446252373 Enrollment ID: I20181015001900 |
| Provider Name | Janet Alecia Cruzado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124505326 PECOS PAC ID: 4688928005 Enrollment ID: I20181120003310 |
| Provider Name | Antoinette Spellmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477028744 PECOS PAC ID: 4587900337 Enrollment ID: I20190115002901 |
| Provider Name | Justin Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013565613 PECOS PAC ID: 6204268139 Enrollment ID: I20191114003586 |
| Provider Name | Jack Vibbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063924868 PECOS PAC ID: 2860815917 Enrollment ID: I20200707003414 |
| Provider Name | Erin Chrisla Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033723986 PECOS PAC ID: 3072925106 Enrollment ID: I20201215001672 |
| Provider Name | Kaitlyn Traywick Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790243582 PECOS PAC ID: 7911319504 Enrollment ID: I20201228000435 |
Medical Center Pell City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2811 Dr John Haynes Dr, Suite 201, Pell City, AL 35125 Phone: 205-814-2104 | |
Ricky Tubbs, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Martin St N, Suite 300, Pell City, AL 35125 Phone: 256-368-1509 | |
American Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Hazelwood Dr, Pell City, AL 35215 Phone: 205-338-8008 Fax: 205-338-8009 | |
Main Street Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 Cogswell Ave, Pell City, AL 35125 Phone: 205-814-1598 Fax: 205-814-1587 | |
Med Md Plus, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Cropwell Dr, Pell City, AL 35128 Phone: 205-814-0404 Fax: 205-814-0407 | |
Main Street Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 Cogswell Ave, Pell City, AL 35125 Phone: 205-814-1598 Fax: 205-814-1587 | |
Southside Medical Service Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Wolf Creek Rd N, Pell City, AL 35125 Phone: 205-753-3462 |