| Internal Medicine Associates Of Tuscaloosa, P.c. | |
|
100 Rice Mine Rd N Suite B Tuscaloosa AL 35406-2300 | |
| (205) 349-4200 | |
| (205) 349-4285 |
| Full Name | Internal Medicine Associates Of Tuscaloosa, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Rice Mine Rd N, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Richard W Shamblin (PARTNER) |
| Authorized Official Contact | 2053494200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of Tuscaloosa, P.c. 100 Rice Mine Rd N Suite B Tuscaloosa AL 35406-2300 Ph: (205) 349-4200 | Internal Medicine Associates Of Tuscaloosa, P.c. 100 Rice Mine Rd N Suite B Tuscaloosa AL 35406-2300 Ph: (205) 349-4200 |
| NPI Number | 1225146004 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/19/2013 |
| Medicare PECOS PAC ID | 6800813957 |
|---|---|
| Medicare Enrollment ID | O20051027000777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225146004 | NPI | - | NPPES |
| E364 | Other | AL | MEDICARE GROUP LEGACY NUM |
| C12745 | Other | AL | MEDICARE RAILROAD |
| 528502230 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kimberly Hillman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861463168 PECOS PAC ID: 8921055914 Enrollment ID: I20050401000345 |
| Provider Name | Reginald Zane Motley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134238975 PECOS PAC ID: 8426089301 Enrollment ID: I20050830001053 |
| Provider Name | Jenna R Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790883429 PECOS PAC ID: 7416976386 Enrollment ID: I20051121000565 |
| Provider Name | Dawn W Bryant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568662039 PECOS PAC ID: 8022107887 Enrollment ID: I20071130000414 |
| Provider Name | David Call |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245233667 PECOS PAC ID: 6103878806 Enrollment ID: I20080512000441 |
| Provider Name | Tracy C Grissett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154654374 PECOS PAC ID: 2860527983 Enrollment ID: I20100315000825 |
| Provider Name | Richard Shamblin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356450183 PECOS PAC ID: 7214956192 Enrollment ID: I20100322000541 |
| Provider Name | William E Alldredge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801904636 PECOS PAC ID: 0042239923 Enrollment ID: I20100329000130 |
| Provider Name | James B Wilhite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043329808 PECOS PAC ID: 5597784470 Enrollment ID: I20100329000387 |
| Provider Name | Amy M Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265711154 PECOS PAC ID: 5991975914 Enrollment ID: I20110831000359 |
| Provider Name | Imad Tahboub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669468336 PECOS PAC ID: 9436142866 Enrollment ID: I20110914000315 |
| Provider Name | Timothy W Prestley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548421803 PECOS PAC ID: 2062677974 Enrollment ID: I20120627000284 |
| Provider Name | Theresa Darlene Putman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609114198 PECOS PAC ID: 8325283989 Enrollment ID: I20130402000284 |
| Provider Name | Neil K Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013235100 PECOS PAC ID: 8921241043 Enrollment ID: I20130821000263 |
| Provider Name | Alisha Marie Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710407150 PECOS PAC ID: 4183984057 Enrollment ID: I20180214002055 |
| Provider Name | Haley Patrick Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003276312 PECOS PAC ID: 0244574549 Enrollment ID: I20181127001727 |
| Provider Name | Julienne Sullivan Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447739974 PECOS PAC ID: 5799029484 Enrollment ID: I20181206002748 |
| Provider Name | Kristin Moudry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720568363 PECOS PAC ID: 6002150711 Enrollment ID: I20181206003578 |
| Provider Name | Julie Anna Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922657147 PECOS PAC ID: 0941635379 Enrollment ID: I20200113002672 |
| Provider Name | Brooke Mccann Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801357942 PECOS PAC ID: 0840697983 Enrollment ID: I20210916001159 |
| Provider Name | Victoria Benay Junkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578231239 PECOS PAC ID: 2163814799 Enrollment ID: I20220111002718 |
| Provider Name | Kelli Lea Garrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215562632 PECOS PAC ID: 8729473004 Enrollment ID: I20220323002341 |
| Provider Name | April Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629778105 PECOS PAC ID: 4082071154 Enrollment ID: I20230605002052 |
| Provider Name | Jordan Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912773854 PECOS PAC ID: 2264878016 Enrollment ID: I20240314003012 |
West Alabama Physician Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 University Blvd E Ste 211, Tuscaloosa, AL 35401 Phone: 205-333-4965 | |
Steve Lovelady Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1490 N Bank Pkwy Ste 290, Tuscaloosa, AL 35406 Phone: 205-523-7001 | |
Alabama Hospital Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 205-344-9019 Fax: 205-344-9036 | |
Five Horizons Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2720 6th St, Tuscaloosa, AL 35401 Phone: 205-759-8470 Fax: 205-366-9001 | |
Whatley Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2731 Martin Luther King Blvd, Tuscaloosa, AL 35401 Phone: 205-349-3250 Fax: 205-752-1517 | |
Mentorup Life Lab & Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 Jack Warner Pkwy Ne Ste G2, Tuscaloosa, AL 35404 Phone: 205-771-2261 | |
Maude L. Whatley Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2731 Mlk Jr Blvd, Tuscaloosa, AL 35401 Phone: 205-349-3250 Fax: 205-345-3993 |