| Maude L. Whatley Health Centers | |
|
2731 Mlk Jr Blvd Tuscaloosa AL 35401-5235 | |
| (205) 349-3250 | |
| (205) 345-3993 |
| Full Name | Maude L. Whatley Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 2731 Mlk Jr Blvd, Tuscaloosa, Alabama |
| Authorized Official Name and Position | David Ellis Gay (CEO) |
| Authorized Official Contact | 2057586647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maude L. Whatley Health Centers 2731 Mlk Jr Blvd Tuscaloosa AL 35401-5235 Ph: (205) 349-3250 | Maude L. Whatley Health Centers 2731 Mlk Jr Blvd Tuscaloosa AL 35401-5235 Ph: (205) 349-3250 |
| NPI Number | 1063422756 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 05/17/2022 |
| Medicare PECOS PAC ID | 8224921705 |
|---|---|
| Medicare Enrollment ID | O20040206000846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063422756 | NPI | - | NPPES |
| 630000005 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Ida E Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821088527 PECOS PAC ID: 1052210358 Enrollment ID: I20040106000487 |
| Provider Name | Toya T Burton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114032117 PECOS PAC ID: 1456338847 Enrollment ID: I20040702000767 |
| Provider Name | Peter J Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831194471 PECOS PAC ID: 1355326414 Enrollment ID: I20040712001042 |
| Provider Name | Jennifer L Burdette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669530879 PECOS PAC ID: 7810967874 Enrollment ID: I20040727001623 |
| Provider Name | James C Byrd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134140734 PECOS PAC ID: 8729050752 Enrollment ID: I20040812001270 |
| Provider Name | Charles B Lehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366412918 PECOS PAC ID: 3870569809 Enrollment ID: I20040909001071 |
| Provider Name | Paul D Lavender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306945712 PECOS PAC ID: 5698736031 Enrollment ID: I20041020000303 |
| Provider Name | Arthur R Sheppard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134199789 PECOS PAC ID: 1850342379 Enrollment ID: I20050202000364 |
| Provider Name | Charles E Abney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689760704 PECOS PAC ID: 7810935574 Enrollment ID: I20050422000094 |
| Provider Name | Brenda A Jacobsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740372960 PECOS PAC ID: 2961305842 Enrollment ID: I20060505000383 |
| Provider Name | William J Von Taaffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508870817 PECOS PAC ID: 0143224337 Enrollment ID: I20060830000376 |
| Provider Name | Parthenia M Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497868160 PECOS PAC ID: 2365441862 Enrollment ID: I20061211000493 |
| Provider Name | Mark J Stewart |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1225114051 PECOS PAC ID: 5395744437 Enrollment ID: I20061219000058 |
| Provider Name | Malcolm R Hendricks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700823697 PECOS PAC ID: 5890797658 Enrollment ID: I20070207000192 |
| Provider Name | George Luckey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427115427 PECOS PAC ID: 4284736679 Enrollment ID: I20070305000324 |
| Provider Name | Gabriel U Nazareno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568484418 PECOS PAC ID: 5890896062 Enrollment ID: I20070718000794 |
| Provider Name | Cameron S Paisley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649328253 PECOS PAC ID: 0446342018 Enrollment ID: I20070828000122 |
| Provider Name | Robert D Slaughter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003835612 PECOS PAC ID: 6406940469 Enrollment ID: I20070920000856 |
| Provider Name | Dawn W Bryant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568662039 PECOS PAC ID: 8022107887 Enrollment ID: I20071130000414 |
| Provider Name | Sharon N Sloup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366482150 PECOS PAC ID: 5092899724 Enrollment ID: I20080220000030 |
| Provider Name | Clyde R Varner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316931256 PECOS PAC ID: 3870521784 Enrollment ID: I20080303000073 |
| Provider Name | David Call |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245233667 PECOS PAC ID: 6103878806 Enrollment ID: I20080512000441 |
| Provider Name | Jennifer Latrece Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952579534 PECOS PAC ID: 2567532153 Enrollment ID: I20080609000721 |
| Provider Name | Keisha G Lowther |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134336886 PECOS PAC ID: 7810064078 Enrollment ID: I20080930000455 |
| Provider Name | Haritha V Guttikonda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912162504 PECOS PAC ID: 3678641842 Enrollment ID: I20081001000707 |
| Provider Name | Geoffrey Alilonu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144295221 PECOS PAC ID: 0143223438 Enrollment ID: I20081021000037 |
| Provider Name | Anne-laura Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174703706 PECOS PAC ID: 5991857195 Enrollment ID: I20090720000258 |
| Provider Name | Ty J Krehbiel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447446000 PECOS PAC ID: 5799830329 Enrollment ID: I20090903000587 |
| Provider Name | Aiesha S Hill |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669604526 PECOS PAC ID: 8820135767 Enrollment ID: I20091026000107 |
| Provider Name | Rajeev Nagarad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417164831 PECOS PAC ID: 7012054885 Enrollment ID: I20091027000699 |
| Provider Name | Andrea G Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588990386 PECOS PAC ID: 7012050495 Enrollment ID: I20100208000166 |
| Provider Name | Michele Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477880607 PECOS PAC ID: 0840320396 Enrollment ID: I20100610000522 |
| Provider Name | Karen Burgess |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316917982 PECOS PAC ID: 3870619885 Enrollment ID: I20100928000451 |
| Provider Name | Gary Maurice Walton |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1619079811 PECOS PAC ID: 4082806302 Enrollment ID: I20101005000985 |
| Provider Name | Justin R Bevel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164669321 PECOS PAC ID: 8921297730 Enrollment ID: I20110110000750 |
| Provider Name | Jahana T Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811135213 PECOS PAC ID: 9739378092 Enrollment ID: I20110118001074 |
| Provider Name | Erica Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437488681 PECOS PAC ID: 9931386042 Enrollment ID: I20110526000585 |
| Provider Name | Jamie Lowther |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396955381 PECOS PAC ID: 4385821701 Enrollment ID: I20110613000817 |
| Provider Name | Paul Gilreath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124229117 PECOS PAC ID: 1355529249 Enrollment ID: I20110623000488 |
| Provider Name | Letisha S Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427315746 PECOS PAC ID: 7810151628 Enrollment ID: I20120607000097 |
| Provider Name | Lisa Y Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538251392 PECOS PAC ID: 1850543042 Enrollment ID: I20121217000114 |
| Provider Name | Amanda M Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821318858 PECOS PAC ID: 4486893039 Enrollment ID: I20130612000216 |
| Provider Name | Pedro N Capote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740540871 PECOS PAC ID: 2365680667 Enrollment ID: I20130612000256 |
| Provider Name | Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073834693 PECOS PAC ID: 3072755651 Enrollment ID: I20130810000049 |
| Provider Name | Neil K Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013235100 PECOS PAC ID: 8921241043 Enrollment ID: I20130821000263 |
| Provider Name | Bruce L Lovins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538260724 PECOS PAC ID: 1456524636 Enrollment ID: I20130823000976 |
| Provider Name | Jennifer B Clem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275651770 PECOS PAC ID: 0648311563 Enrollment ID: I20130923000596 |
| Provider Name | Edwin Enrique Villarreal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447418397 PECOS PAC ID: 5496925547 Enrollment ID: I20140523001722 |
| Provider Name | Tandra R Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740571215 PECOS PAC ID: 0143464404 Enrollment ID: I20141016001926 |
| Provider Name | Tamer Elsayed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588944292 PECOS PAC ID: 6608098579 Enrollment ID: I20141107001640 |
| Provider Name | Deepak Chandramohan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942598388 PECOS PAC ID: 7618291147 Enrollment ID: I20150109002011 |
| Provider Name | James P Whitley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659541563 PECOS PAC ID: 6709102528 Enrollment ID: I20150312002696 |
| Provider Name | Holly S Mccaleb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447519400 PECOS PAC ID: 6204143969 Enrollment ID: I20150914002361 |
| Provider Name | Steven M Grieper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508830761 PECOS PAC ID: 8022001114 Enrollment ID: I20151005002030 |
| Provider Name | John Burkhardt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548563596 PECOS PAC ID: 9830370410 Enrollment ID: I20151019001839 |
| Provider Name | Kacie E Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568838746 PECOS PAC ID: 0345540589 Enrollment ID: I20151119002870 |
| Provider Name | Cortney L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154795177 PECOS PAC ID: 7416251764 Enrollment ID: I20160205001375 |
| Provider Name | Charles E Geno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366444952 PECOS PAC ID: 1759574791 Enrollment ID: I20160210000905 |
| Provider Name | Ava Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578750931 PECOS PAC ID: 4385935428 Enrollment ID: I20160621002615 |
| Provider Name | Monica M T Bui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265872022 PECOS PAC ID: 9739315169 Enrollment ID: I20160803001296 |
| Provider Name | Shuaib Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467890038 PECOS PAC ID: 1153623244 Enrollment ID: I20161024000288 |
| Provider Name | Stephanie Franks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548705650 PECOS PAC ID: 9739464645 Enrollment ID: I20170315002209 |
| Provider Name | Brian Thomas Perrin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639512957 PECOS PAC ID: 6507004520 Enrollment ID: I20170530001690 |
| Provider Name | Jose C Pinero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538468202 PECOS PAC ID: 0941422521 Enrollment ID: I20170810001847 |
| Provider Name | Joseph H Sewell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497191159 PECOS PAC ID: 2062644040 Enrollment ID: I20171206003192 |
| Provider Name | Mansoor Mehmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942430707 PECOS PAC ID: 7618275850 Enrollment ID: I20180110001127 |
| Provider Name | Jonathan Michael Sherrill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275928301 PECOS PAC ID: 8426354135 Enrollment ID: I20180130003025 |
| Provider Name | Douglas A Cowser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952715989 PECOS PAC ID: 9436447778 Enrollment ID: I20180220000175 |
| Provider Name | Jacquelynn P Luker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578946208 PECOS PAC ID: 6002125770 Enrollment ID: I20180324000004 |
| Provider Name | Jessica M. Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518405414 PECOS PAC ID: 6608126214 Enrollment ID: I20180831001369 |
| Provider Name | Andrea T Fair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598148215 PECOS PAC ID: 5496064297 Enrollment ID: I20181214003012 |
| Provider Name | Hassan Alkhatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952630105 PECOS PAC ID: 4789708827 Enrollment ID: I20190226003264 |
| Provider Name | Shonna T Rivella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720505514 PECOS PAC ID: 6406196005 Enrollment ID: I20190319000026 |
| Provider Name | Mari C Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114499803 PECOS PAC ID: 0244572899 Enrollment ID: I20190430002254 |
| Provider Name | Raisa Long |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578961140 PECOS PAC ID: 9436491974 Enrollment ID: I20190501003471 |
| Provider Name | Nadir Khan Baluch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184009573 PECOS PAC ID: 8022326719 Enrollment ID: I20190610002660 |
| Provider Name | Michael Lysek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265968853 PECOS PAC ID: 3173874823 Enrollment ID: I20190701002149 |
| Provider Name | Bennie Joe Goggans |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1417034497 PECOS PAC ID: 9537493077 Enrollment ID: I20190703000020 |
| Provider Name | Jenna L Gaut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821651589 PECOS PAC ID: 9335475086 Enrollment ID: I20190801002929 |
| Provider Name | Tiffany Monique Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083180319 PECOS PAC ID: 6709114499 Enrollment ID: I20190819003236 |
| Provider Name | Rhonda Snow Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326306358 PECOS PAC ID: 2668624958 Enrollment ID: I20190824000641 |
| Provider Name | Richard A Giovane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427400035 PECOS PAC ID: 6002195336 Enrollment ID: I20190920000855 |
| Provider Name | Chijioke Ifeanyichukwu Ulasi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447811666 PECOS PAC ID: 4486984713 Enrollment ID: I20190930000128 |
| Provider Name | Joshua Coy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164879870 PECOS PAC ID: 0042507758 Enrollment ID: I20191010001920 |
| Provider Name | John Le |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992202634 PECOS PAC ID: 2264787134 Enrollment ID: I20191112001181 |
| Provider Name | Heather Shunta Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629240999 PECOS PAC ID: 8729259122 Enrollment ID: I20191120000324 |
| Provider Name | Jennifer Rose Rhodes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215378153 PECOS PAC ID: 4789017443 Enrollment ID: I20191210003598 |
| Provider Name | Dana Gentry Eicher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134788417 PECOS PAC ID: 2860826401 Enrollment ID: I20200107001899 |
| Provider Name | Abra Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972165389 PECOS PAC ID: 7214266113 Enrollment ID: I20200114001786 |
| Provider Name | Larissa Harkacz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821443706 PECOS PAC ID: 4880958685 Enrollment ID: I20200306002151 |
| Provider Name | Daphne Lavette Cockrell-james |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952789950 PECOS PAC ID: 4284062225 Enrollment ID: I20200325001266 |
| Provider Name | Britney B Sullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942832951 PECOS PAC ID: 0345679338 Enrollment ID: I20200325003868 |
| Provider Name | Collena M Robertson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1659933190 PECOS PAC ID: 0547599391 Enrollment ID: I20200630003514 |
| Provider Name | Jessica Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972024958 PECOS PAC ID: 2769756873 Enrollment ID: I20200714002771 |
| Provider Name | Amanda T Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619498698 PECOS PAC ID: 4385061704 Enrollment ID: I20200831003366 |
| Provider Name | Asha Parr Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437775996 PECOS PAC ID: 9133533425 Enrollment ID: I20210127003449 |
| Provider Name | Gwenn Marie Mckenzie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851989610 PECOS PAC ID: 3173937398 Enrollment ID: I20210129002491 |
| Provider Name | Charles Daniel Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942764592 PECOS PAC ID: 4284049727 Enrollment ID: I20210216001885 |
| Provider Name | Dhruva Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598358905 PECOS PAC ID: 8022423045 Enrollment ID: I20210224001370 |
| Provider Name | William Jackson Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033745294 PECOS PAC ID: 4486060993 Enrollment ID: I20210309000122 |
| Provider Name | Josephine U Anuforo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366898330 PECOS PAC ID: 5597190322 Enrollment ID: I20210317001109 |
| Provider Name | Edward L Goldblatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033145834 PECOS PAC ID: 7719943414 Enrollment ID: I20210401000732 |
| Provider Name | Keema Petria Boland-bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619557832 PECOS PAC ID: 5395154280 Enrollment ID: I20210505001673 |
| Provider Name | Ashleigh Nicole Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164042586 PECOS PAC ID: 5799194502 Enrollment ID: I20210507000954 |
| Provider Name | Scott Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093248627 PECOS PAC ID: 1052698644 Enrollment ID: I20210527000629 |
| Provider Name | Morgan Lea Benefield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154828457 PECOS PAC ID: 7012268899 Enrollment ID: I20210623001708 |
| Provider Name | Carmen Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114424413 PECOS PAC ID: 1658622444 Enrollment ID: I20210714001127 |
| Provider Name | Susie Bliss Cook Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548794217 PECOS PAC ID: 1658773304 Enrollment ID: I20210716002441 |
| Provider Name | Hannah Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942707427 PECOS PAC ID: 0941603401 Enrollment ID: I20210722000311 |
| Provider Name | Akeba Anjanette Vester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861046914 PECOS PAC ID: 9234532268 Enrollment ID: I20210728000811 |
| Provider Name | Ashley Stines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497373328 PECOS PAC ID: 8325443112 Enrollment ID: I20210817001408 |
| Provider Name | Yasmine Latrice Cargill Strickland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134625452 PECOS PAC ID: 9234534991 Enrollment ID: I20210819000434 |
| Provider Name | Hamid Qazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619473162 PECOS PAC ID: 9436556149 Enrollment ID: I20210923000408 |
| Provider Name | Eric A Afari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215399068 PECOS PAC ID: 0042502379 Enrollment ID: I20210928001441 |
| Provider Name | Anthony L Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528283355 PECOS PAC ID: 3779647680 Enrollment ID: I20210930002292 |
| Provider Name | Merlin Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700231586 PECOS PAC ID: 8022424746 Enrollment ID: I20211006002564 |
| Provider Name | Paul Wojcieszek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316442650 PECOS PAC ID: 9032517826 Enrollment ID: I20211008000772 |
| Provider Name | Celia E Pantoja Rojas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659496180 PECOS PAC ID: 2365535861 Enrollment ID: I20211012000952 |
| Provider Name | Lisa Gillespie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013966597 PECOS PAC ID: 6608831987 Enrollment ID: I20211013001685 |
| Provider Name | Nrmeen Anwar O Turkistani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861160756 PECOS PAC ID: 3870981137 Enrollment ID: I20211019003132 |
| Provider Name | Wesley Faught |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437721198 PECOS PAC ID: 5799173456 Enrollment ID: I20211028002863 |
| Provider Name | Christopher Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861978272 PECOS PAC ID: 6709121155 Enrollment ID: I20211120000109 |
| Provider Name | Jon Dubose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114920162 PECOS PAC ID: 5395769236 Enrollment ID: I20211124000651 |
| Provider Name | Helen Gharwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770745424 PECOS PAC ID: 7416264841 Enrollment ID: I20211207001350 |
| Provider Name | Babajide Falana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003867334 PECOS PAC ID: 1456379775 Enrollment ID: I20211210000805 |
| Provider Name | Ruben Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295855401 PECOS PAC ID: 5294900445 Enrollment ID: I20211213001991 |
| Provider Name | Osamede Scott Obanor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801279906 PECOS PAC ID: 2466743323 Enrollment ID: I20211214001888 |
| Provider Name | Olaseni Alexander Shoroye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053376509 PECOS PAC ID: 1557346418 Enrollment ID: I20211220001888 |
| Provider Name | Rami Jabbour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679980072 PECOS PAC ID: 2163793001 Enrollment ID: I20211228000006 |
| Provider Name | Qingcong Zeng |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588290357 PECOS PAC ID: 6507296183 Enrollment ID: I20220201001435 |
| Provider Name | Xaunna Krehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720508401 PECOS PAC ID: 0244584407 Enrollment ID: I20220215001755 |
| Provider Name | June Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043974785 PECOS PAC ID: 3375936255 Enrollment ID: I20220217001773 |
| Provider Name | Kristina Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932797107 PECOS PAC ID: 4385038165 Enrollment ID: I20220221000658 |
| Provider Name | Abiot Lemma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184111411 PECOS PAC ID: 6103222658 Enrollment ID: I20220331000700 |
| Provider Name | Lazita Lanell Smiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932762911 PECOS PAC ID: 3870970825 Enrollment ID: I20220513001171 |
| Provider Name | Jaykumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326401647 PECOS PAC ID: 3072842830 Enrollment ID: I20220519001663 |
| Provider Name | Christel Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033301254 PECOS PAC ID: 7911109129 Enrollment ID: I20220614000397 |
| Provider Name | Lucas Kane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306405576 PECOS PAC ID: 1153759923 Enrollment ID: I20220628001368 |
| Provider Name | Niambi Horton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992835854 PECOS PAC ID: 7012241383 Enrollment ID: I20220706000961 |
| Provider Name | Svitlana Shapovalova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255829321 PECOS PAC ID: 3971909417 Enrollment ID: I20220707000139 |
| Provider Name | Hamid Kargbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821231788 PECOS PAC ID: 3971731613 Enrollment ID: I20220711000076 |
| Provider Name | William M Rasberry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356786669 PECOS PAC ID: 0143469817 Enrollment ID: I20220725000325 |
| Provider Name | Shivam P Kalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861781932 PECOS PAC ID: 8325264948 Enrollment ID: I20220802001102 |
| Provider Name | Christine Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467015487 PECOS PAC ID: 8325476385 Enrollment ID: I20220804001806 |
| Provider Name | Davey Ann Ho Sang |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184280422 PECOS PAC ID: 6800279472 Enrollment ID: I20220815000630 |
| Provider Name | Stacy Stough Noland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518698281 PECOS PAC ID: 3678956828 Enrollment ID: I20220820000078 |
| Provider Name | Sai Kiran Nimmagadda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730746967 PECOS PAC ID: 4587048418 Enrollment ID: I20220826000710 |
| Provider Name | Zunair Ahmad |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467915264 PECOS PAC ID: 5991032526 Enrollment ID: I20220916002171 |
| Provider Name | Anusha Kanagala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811384886 PECOS PAC ID: 7214285428 Enrollment ID: I20220920003176 |
| Provider Name | Michaela Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689244030 PECOS PAC ID: 0840675286 Enrollment ID: I20220921000505 |
| Provider Name | Altressa Drummond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891722849 PECOS PAC ID: 5496717456 Enrollment ID: I20220930000152 |
| Provider Name | Jennifer Okafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992372163 PECOS PAC ID: 2365818903 Enrollment ID: I20221021001786 |
| Provider Name | David Matthew Beaman Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710948799 PECOS PAC ID: 8921076340 Enrollment ID: I20230131001770 |
| Provider Name | Daniel Lloyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407382070 PECOS PAC ID: 0840561296 Enrollment ID: I20230209000594 |
| Provider Name | Carlos Vincent Josue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487031670 PECOS PAC ID: 4789936493 Enrollment ID: I20230317001338 |
| Provider Name | Jason Graffagnino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275066573 PECOS PAC ID: 7618254525 Enrollment ID: I20230502000055 |
| Provider Name | Asma Hasan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801041207 PECOS PAC ID: 2466623129 Enrollment ID: I20230605001663 |
| Provider Name | April Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629778105 PECOS PAC ID: 4082071154 Enrollment ID: I20230605002052 |
| Provider Name | Savannah Nicole Giovane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558977249 PECOS PAC ID: 1052779154 Enrollment ID: I20230622000795 |
| Provider Name | Tiffany L Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093338709 PECOS PAC ID: 3678988763 Enrollment ID: I20230703001655 |
| Provider Name | Whitney L Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043458102 PECOS PAC ID: 6305276346 Enrollment ID: I20230713002832 |
| Provider Name | Olufunke M Adebayo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821625351 PECOS PAC ID: 4082032958 Enrollment ID: I20230809001468 |
| Provider Name | Afrin Biswas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700404704 PECOS PAC ID: 7911319090 Enrollment ID: I20230814002477 |
| Provider Name | Pamela Angelo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952925570 PECOS PAC ID: 4385067339 Enrollment ID: I20230814002887 |
| Provider Name | Tammy Denise Moore |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1588309298 PECOS PAC ID: 3870957178 Enrollment ID: I20230919002447 |
| Provider Name | Richard Mosu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114540812 PECOS PAC ID: 1355755976 Enrollment ID: I20230922000898 |
| Provider Name | Dorian Bonam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043847536 PECOS PAC ID: 5294156535 Enrollment ID: I20230925002536 |
| Provider Name | Rupak Mahendhar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932724549 PECOS PAC ID: 4688020225 Enrollment ID: I20231102000822 |
| Provider Name | Shiloh Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710492392 PECOS PAC ID: 4688935943 Enrollment ID: I20231208001399 |
| Provider Name | Alexander Thomas Mathews |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841930773 PECOS PAC ID: 6204215551 Enrollment ID: I20231211000113 |
| Provider Name | Alexis Nicole Pullins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164285029 PECOS PAC ID: 1254776800 Enrollment ID: I20240305002414 |
| Provider Name | Shequita Deche Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316660327 PECOS PAC ID: 2961848494 Enrollment ID: I20240307000262 |
| Provider Name | Eva Marie Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134765886 PECOS PAC ID: 8325419013 Enrollment ID: I20240321000341 |
| Provider Name | Sarah Neely Ivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043662851 PECOS PAC ID: 3678868403 Enrollment ID: I20240417000371 |
| Provider Name | Robert Vice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750087318 PECOS PAC ID: 6305285685 Enrollment ID: I20240419000117 |
| Provider Name | Sandra Ann Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326891219 PECOS PAC ID: 1254873649 Enrollment ID: I20240613000987 |
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 |