| Medcenter Fayette, Llc | |
|
122 17th Ct Ne Fayette AL 35555-1353 | |
| (205) 330-1707 | |
| (205) 333-0782 |
| Full Name | Medcenter Fayette, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 122 17th Ct Ne, Fayette, Alabama |
| Authorized Official Name and Position | Holly Posey James (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2053301707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcenter Fayette, Llc 3909 Mcfarland Blvd Northport AL 35476-2838 Ph: (205) 330-1707 | Medcenter Fayette, Llc 122 17th Ct Ne Fayette AL 35555-1353 Ph: (205) 330-1707 |
| NPI Number | 1235590001 |
|---|---|
| Provider Enumeration Date | 03/08/2016 |
| Last Update Date | 10/06/2024 |
| Medicare PECOS PAC ID | 5193014611 |
|---|---|
| Medicare Enrollment ID | O20160523000947 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235590001 | NPI | - | NPPES |
| 12135 | Other | AL | MD LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert A Posey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487660932 PECOS PAC ID: 9638154941 Enrollment ID: I20040625000371 |
| Provider Name | Perry L Lovely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679588255 PECOS PAC ID: 0749189124 Enrollment ID: I20040625000409 |
| Provider Name | Christopher E Mcgee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235145871 PECOS PAC ID: 6002892593 Enrollment ID: I20040625000494 |
| Provider Name | John D Tuten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891701348 PECOS PAC ID: 7214969906 Enrollment ID: I20050901000817 |
| Provider Name | Susan F Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194864124 PECOS PAC ID: 7416052535 Enrollment ID: I20070418000563 |
| Provider Name | Bobbie S Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265549851 PECOS PAC ID: 2163514274 Enrollment ID: I20070822000111 |
| Provider Name | Holley M Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649450974 PECOS PAC ID: 4082795596 Enrollment ID: I20080122000488 |
| Provider Name | William S Taunton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548482995 PECOS PAC ID: 6305915554 Enrollment ID: I20080514000640 |
| Provider Name | Audra L Busenlehner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720051584 PECOS PAC ID: 7012099427 Enrollment ID: I20100923000507 |
| Provider Name | Casey P Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093127342 PECOS PAC ID: 5890086284 Enrollment ID: I20160615000085 |
| Provider Name | Dimple Thakor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518107515 PECOS PAC ID: 6002105681 Enrollment ID: I20170111000399 |
| Provider Name | Joshua A Posey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386884377 PECOS PAC ID: 4183906373 Enrollment ID: I20170124000799 |
| Provider Name | Amy M Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770973125 PECOS PAC ID: 1254620834 Enrollment ID: I20170125001566 |
| Provider Name | India Jeaneice Berryhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467692459 PECOS PAC ID: 3971808718 Enrollment ID: I20171108003893 |
| Provider Name | Nancy A Claus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316431141 PECOS PAC ID: 3173953973 Enrollment ID: I20200418000463 |
| Provider Name | Raven Nicole Billups |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336808377 PECOS PAC ID: 2961898275 Enrollment ID: I20220413000046 |
| Provider Name | Christopher Wayne Albright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609401728 PECOS PAC ID: 3476949728 Enrollment ID: I20220413001443 |
| Provider Name | Sarah Morgan Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417601485 PECOS PAC ID: 8628455714 Enrollment ID: I20220511000070 |
| Provider Name | Hope Hartsfield Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649998337 PECOS PAC ID: 2567848922 Enrollment ID: I20221007002558 |
| Provider Name | Alexis Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952012833 PECOS PAC ID: 4486028297 Enrollment ID: I20230317001691 |
| Provider Name | Kaitlin Killian Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689376279 PECOS PAC ID: 7012372766 Enrollment ID: I20230502001347 |
| Provider Name | Jodi Mcdaniel Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306530589 PECOS PAC ID: 5496114183 Enrollment ID: I20230628002723 |
| Provider Name | Lesley Page Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053820217 PECOS PAC ID: 4688023088 Enrollment ID: I20231211002705 |
Jon E. Sanford,m.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 17th Ct Ne, Fayette, AL 35555 Phone: 205-932-3900 Fax: 205-932-3941 | |
Martha Jo Christian Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1716 Temple Ave N, Fayette, AL 35555 Phone: 205-932-2497 Fax: 205-932-2539 | |
Frederick L. Yerby, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1716 Temple Ave N, Suite 6, Fayette, AL 35555 Phone: 205-932-7750 Fax: 205-932-6293 | |
Harold E. Breitling, Jr., M.d.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1716 Temple Ave N, Suite 5, Fayette, AL 35555 Phone: 205-932-3978 Fax: 205-932-3990 | |
Fmc Medical Clinic - Fayette Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1653 Temple Ave N Ste 1, Fayette, AL 35555 Phone: 205-932-1112 | |
Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1705 1st Way Nw, Fayette, AL 35555 Phone: 205-932-7821 |